Organization
OPTIMA OPHTHALMIC MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RICHARD MANDEL MD (SECRETARY TREASURER)
(510) 886-3937
Entity
Organization
Contact information
Practice address
1237 B STREET, HAYWARD, CA 94541
(510) 886-5497
(510) 886-4465
Mailing address
1237 B ST, HAYWARD, CA 94541-2915
(510) 886-5497
(510) 886-4465
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
140000450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01004F
—
CA
Enumeration date
05/31/2006
Last updated
09/19/2024
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