Provider Demographics
NPI:1942638119
Name:RATINOFF AND MANN OPTOMETRISTS INC
Entity Type:Organization
Organization Name:RATINOFF AND MANN OPTOMETRISTS INC
Other - Org Name:OPTOMETRY@REDWOODSHORES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:RATINOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-551-9111
Mailing Address - Street 1:303 TWIN DOLPHIN DR
Mailing Address - Street 2:SUITE 122
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1497
Mailing Address - Country:US
Mailing Address - Phone:650-551-9111
Mailing Address - Fax:
Practice Address - Street 1:303 TWIN DOLPHIN DR
Practice Address - Street 2:SUITE 122
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1497
Practice Address - Country:US
Practice Address - Phone:650-551-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4888G152W00000X
CA12666152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty