Provider Demographics
NPI:1881054906
Name:ANDREWS OPTICAL INC
Entity type:Organization
Organization Name:ANDREWS OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:R D O
Authorized Official - Phone:760-672-7207
Mailing Address - Street 1:585 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2327
Mailing Address - Country:US
Mailing Address - Phone:760-720-7447
Mailing Address - Fax:760-720-1226
Practice Address - Street 1:585 GRAND AVE
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2327
Practice Address - Country:US
Practice Address - Phone:760-720-7447
Practice Address - Fax:760-720-1226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty