Provider Demographics
NPI:1740426899
Name:POINT RICHMOND OPTOMETRY
Entity Type:Organization
Organization Name:POINT RICHMOND OPTOMETRY
Other - Org Name:PAULA C. ASMUS, OD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:ASMUS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:510-235-5228
Mailing Address - Street 1:110 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:POINT RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801
Mailing Address - Country:US
Mailing Address - Phone:510-235-5228
Mailing Address - Fax:510-235-1847
Practice Address - Street 1:110 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:POINT RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3947
Practice Address - Country:US
Practice Address - Phone:510-235-5228
Practice Address - Fax:510-235-1847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9430TPG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1407931066OtherNPI #
CA1407931066OtherNPI #