Organization
STUDIO OPTICS OPTOMETRIC GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSHE MENDELSON O.D. (PRESIDENT)
(408) 492-1111
Entity
Organization
Contact information
Practice address
3159 MISSION COLLEGE BLVD, SANTA CLARA, CA 95054-1832
(408) 492-1111
(408) 492-9255
Mailing address
3159 MISSION COLLEGE BLVD, SANTA CLARA, CA 95054-1832
(408) 492-1111
(408) 492-9255
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
COR989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5081750001
MEDICARE - DMERC
CA
Enumeration date
05/31/2005
Last updated
01/22/2008
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