Organization
OPTIMA OPHTHALMIC MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R MANDEL MD (SECRETARY TREASURER)
(510) 886-3937
Entity
Organization
Contact information
Practice address
1237 B ST, HAYWARD, CA 94541-2915
(510) 886-5497
(510) 886-6304
Mailing address
1229 B ST, HAYWARD, CA 94541-2915
(510) 886-3937
(510) 886-4465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G42418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ80788Z
—
CA
Enumeration date
06/06/2007
Last updated
09/19/2024
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