Individual
MR. ROMUALDO D. ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
5805 MISSION ST, SAN FRANCISCO, CA 94112-4017
(415) 469-8210
(415) 469-0283
Mailing address
5805 MISSION ST, SAN FRANCISCO, CA 94112-4017
(415) 469-8210
(415) 469-0283
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
A7377
MN
156FX1800X
Optician
20633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX005745F
—
CA
Enumeration date
12/26/2006
Last updated
09/11/2025
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