# MICHAEL'S OPTICAL INC.

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

## Provider details

- **NPI number:** 1790886968
- **Authorized official:** MR. MICHAEL GENE NUTT (PRESIDENT)
- **Authorized official phone:** (805) 466-5770

## Contact information

- **Practice address:** 719 HIGUERA ST, SAN LUIS OBISPO, CA 93401-3512
- **Practice address phone:** (805) 543-5770
- **Practice address fax:** (805) 543-5795
- **Mailing address:** 8300 EL CAMINO REAL, B, ATASCADERO, CA 93422-5358
- **Mailing address phone:** (805) 466-5770
- **Mailing address fax:** (805) 466-5801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | D2634 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/22/2020