Organization
PENINSULA OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALINA KINDT (CFO / MANAGING MEMBER)
(669) 237-8380
Entity
Organization
Contact information
Practice address
415 UNIVERSITY AVE, PALO ALTO, CA 94301-1813
(650) 326-8415
(650) 326-8417
Mailing address
112 SURREY CT, MILPITAS, CA 95035-5018
(669) 237-8380
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/10/2023
Last updated
04/14/2023
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