Provider Demographics
| NPI: | 1841403979 |
|---|---|
| Name: | 3N OPTICAL INC. |
| Entity type: | Organization |
| Organization Name: | 3N OPTICAL INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | NAJIB |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SAAB |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 510-790-1001 |
| Mailing Address - Street 1: | 2209 NEWPARK MALL |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NEWARK |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 94560-5248 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 510-790-1001 |
| Mailing Address - Fax: | 510-790-1704 |
| Practice Address - Street 1: | 2209 NEWPARK MALL |
| Practice Address - Street 2: | |
| Practice Address - City: | NEWARK |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 94560-5248 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 510-790-1001 |
| Practice Address - Fax: | 510-790-1704 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-05-07 |
| Last Update Date: | 2008-06-25 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | D6673 | 156FX1800X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | Optician | Group - Single Specialty |