Organization
MICHAEL'S OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GENE NUTT (PRESIDENT)
(805) 466-5770
Entity
Organization
Contact information
Practice address
145 NIBLICK RD, PASO ROBLES, CA 93446-4844
(805) 238-5770
(805) 238-4047
Mailing address
8300 EL CAMINO REAL, B, ATASCADERO, CA 93422-5358
(805) 466-5770
(805) 466-8501
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D 3272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DX003272F
MEDICAL PROVIDER NUMBER
CA
Enumeration date
09/26/2006
Last updated
08/22/2020
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