Provider Demographics
NPI:1568571297
Name:PAZ & RESPICIO GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:PAZ & RESPICIO GENERAL PARTNERSHIP
Other - Org Name:DALY CITY OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:S.
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:RESPICIO
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:650-756-4000
Mailing Address - Street 1:94B SERRAMONTE CTR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2345
Mailing Address - Country:US
Mailing Address - Phone:650-756-4000
Mailing Address - Fax:650-756-4070
Practice Address - Street 1:94B SERRAMONTE CTR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2345
Practice Address - Country:US
Practice Address - Phone:650-756-4000
Practice Address - Fax:650-756-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP 2371152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGSD001800Medicaid
CAZZZ13771ZMedicare ID - Type Unspecified