Provider Demographics
NPI:1558720649
Name:SECOND SIGHT MEDICAL PRODUCTS, INC.
Entity Type:Organization
Organization Name:SECOND SIGHT MEDICAL PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-833-5040
Mailing Address - Street 1:12744 SAN FERNANDO RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3728
Mailing Address - Country:US
Mailing Address - Phone:818-833-5000
Mailing Address - Fax:
Practice Address - Street 1:12744 SAN FERNANDO RD
Practice Address - Street 2:SUITE 400
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3728
Practice Address - Country:US
Practice Address - Phone:818-833-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier