Organization
VISION ACADEMY SF- AN OPTOMETRIC CORP.
Active
Organization
VISION ACADEMY SF- AN OPTOMETRIC CORP.
Active
Other names
Rising Star Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SHUMAKER OD (OWNER)
(510) 928-4986
Entity
Organization
Contact information
Practice address
361 3RD ST STE C, SAN RAFAEL, CA 94901-3580
(415) 459-2020
(415) 459-2021
Mailing address
361 3RD ST STE C, SAN RAFAEL, CA 94901-3580
(415) 459-2020
(415) 459-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
Primary
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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