Organization
MID-PENINSULA OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PAQUETTE (OWNER OPTICIAN)
(650) 324-4333
Entity
Organization
Contact information
Practice address
883 SANTA CRUZ AVE, MENLO PARK, CA 94025-4638
(650) 324-4333
(650) 324-4311
Mailing address
883 SANTA CRUZ AVE, MENLO PARK, CA 94025-4638
(650) 324-4333
(650) 324-4311
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
CL391
CA
156FX1800X
Optician
Primary
SL0611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA0391
EYEMEDVISIONCARE
CA
Enumeration date
02/24/2007
Last updated
09/11/2025
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