Organization
STANFORD OPTICAL SHOP
Active
Other names
Stanford Hospital and Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY REGALADO ABOC (LICENSED OPTICIAN)
(650) 736-0566
Entity
Organization
Contact information
Practice address
900 BLAKE WILBUR DR RM W1090, PALO ALTO, CA 94304-2201
(650) 736-0566
(650) 736-0575
Mailing address
900 BLAKE WILBUR DR., ROOM W1090, PALO ALTO, CA 94304-1185
(650) 736-0566
(650) 736-0575
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL 4881
CA
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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