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 |