Organization
TRIBAL EYES
Active
Other names
Tribal Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL STEPHEN COLEMAN CLD SLD RDO FNAO (OWNER)
(510) 361-8879
Entity
Organization
Contact information
Practice address
160 FRANKLIN STREET, SUITE 205, OAKLAND, CA 94607-3759
(510) 268-8091
(510) 268-8093
Mailing address
6207 MAJESTIC AVE, OAKLAND, CA 94605-1860
(510) 361-8879
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D7655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28010222
CITY OF OAKLAND BUSINESS LICENSE
CA
01
—
C3388261
SECRETARY OF STATE CORPORATION FILE NUMBER
CA
01
—
D7655
MEDICAL BOARD, REGISTERED DISPENSING OPTICIAN
CA
Enumeration date
05/31/2011
Last updated
09/27/2022
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