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Organization

ROBERT E PAQUETTE OPTICIAN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE ALYCE BONEY (CEO OPTICIAN)
(650) 965-4488
Entity
Organization

Contact information

Practice address
785 CASTRO ST STE C, MOUNTAIN VIEW, CA 94041-2013
(650) 965-4488
Mailing address
785 CASTRO ST STE C, MOUNTAIN VIEW, CA 94041-2013
(650) 965-4488

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
D1917
CA
156FX1800X
Optician
Primary
D1917
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CA3000
EYEMEDVISIONCARE
CA
05
ZZZ73241Z
CA
Enumeration date
01/01/2007
Last updated
09/11/2025
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