# SISKIYOU OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yreka Optical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922003821
- **Authorized official:** MS. BELMIRA PARDAL BORG (ADMINISTRATOR)
- **Authorized official phone:** (530) 842-2760

## Contact information

- **Practice address:** 2524 WESTSIDE RD, YREKA, CA 96097-9129
- **Practice address phone:** (530) 842-2760
- **Practice address fax:** (530) 842-5839
- **Mailing address:** 2524 WESTSIDE RD, YREKA, CA 96097-9129
- **Mailing address phone:** (530) 842-2760
- **Mailing address fax:** (530) 842-5839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 07/03/2013