# TIERNAN OPTICIANS,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558410647
- **Authorized official:** MR. MICHAEL J. TIERNAN RDO (PRESIDENT OWNER)
- **Authorized official phone:** (650) 592-1666

## Contact information

- **Practice address:** 1225 SAN CARLOS AVE, SAN CARLOS, CA 94070-2419
- **Practice address phone:** (650) 592-1666
- **Practice address fax:** (650) 592-1725
- **Mailing address:** 1225 SAN CARLOS AVE, SAN CARLOS, CA 94070-2419
- **Mailing address phone:** (650) 592-1666
- **Mailing address fax:** (650) 592-1725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | D2913 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 02/01/2008