Organization
THE OPTICAL SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEIGH BARTLETT (OWNER/OPTICIAN)
(408) 358-8223
Entity
Organization
Contact information
Practice address
2516 SAMARITAN DR, SUITE E, SAN JOSE, CA 95124-4108
(408) 358-8223
Mailing address
2516 SAMARITAN DR, SUITE E, SAN JOSE, CA 95124-4108
(408) 358-8223
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL6311
CA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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