Provider Demographics
NPI:1851568729
Name:INSIGHT OPTOMETRY
Entity Type:Organization
Organization Name:INSIGHT OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:510-701-1477
Mailing Address - Street 1:3700 SAN PABLO AVE
Mailing Address - Street 2:STE B5
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-3968
Mailing Address - Country:US
Mailing Address - Phone:510-741-9900
Mailing Address - Fax:
Practice Address - Street 1:3700 SAN PABLO AVE
Practice Address - Street 2:STE B5
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-3968
Practice Address - Country:US
Practice Address - Phone:510-741-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-10
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty