Organization
EYEGEN SAN MATEO
Active
Other names
SITE FOR SORE EYES
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BEZVERKH (MANAGER)
(415) 347-1500
Entity
Organization
Contact information
Practice address
115 E 3RD AVE, SAN MATEO, CA 94401-4012
(415) 347-1500
Mailing address
115 E 3RD AVE, SAN MATEO, CA 94401-4012
(415) 347-1500
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/30/2007
Last updated
08/22/2020
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