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Organization
PENZA & MORIOKA OPTOMETRY INC
Active
Organization
PENZA & MORIOKA OPTOMETRY INC
Active
Other names
Penza & Morioka, CITY OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PENZA OD (AUTHORIZED AND DELEGATED OFFICIAL)
(415) 291-8560
Entity
Organization
Contact information
Practice address
530 BUSH ST, SUITE 101, SAN FRANCISCO, CA 94108
(415) 291-8560
(415) 291-8573
Mailing address
530 BUSH ST, SUITE 101, SAN FRANCISCO, CA 94108
(415) 291-8560
(415) 291-8573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11219TCA
CA
152W00000X
Optometrist
OPT8287TPA
CA
152W00000X
Optometrist
Primary
OPT8305TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ08419Z
BLUE SHIELD
CA
Enumeration date
12/27/2006
Last updated
03/30/2020
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