Organization
GARY A OSIAS
Active
Other names
Primary Eyecare Optometrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYDIA PHILLIPS OSIAS (BUSINESS MANAGER)
(510) 581-1553
Entity
Organization
Contact information
Practice address
2687 CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94546-5409
(510) 581-1553
(510) 581-1929
Mailing address
2687 CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94546-5409
(510) 581-1553
(510) 581-1929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7027T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000960
—
CA
Enumeration date
01/16/2007
Last updated
08/03/2011
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