Organization
EPSTEIN OPTOMETRIC CORPORATION
Active
Other names
Bella Vista Optometric Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON L EPSTEIN O.D. (OPTOMETRIST PRESIDENT)
(510) 895-2116
Entity
Organization
Contact information
Practice address
1598 WASHINGTON AVE, SAN LEANDRO, CA 94577-4465
(510) 895-2116
Mailing address
1598 WASHINGTON AVE, SAN LEANDRO, CA 94577-4465
(510) 895-2116
(510) 895-2316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 6209TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16007
MEDICAL EYE SERVICES
CA
01
—
943392379
VISION CARE PLAN
CA
05
—
SD0062090
—
CA
Enumeration date
02/27/2007
Last updated
06/21/2018
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