Provider Demographics
NPI:1538443049
Name:VISIONCARE OF CALIFORNIA INC.
Entity type:Organization
Organization Name:VISIONCARE OF CALIFORNIA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & C.O.O
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHASHTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-454-4647
Mailing Address - Street 1:1005 EL CAMINO REAL
Mailing Address - Street 2:STE B3
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1692
Mailing Address - Country:US
Mailing Address - Phone:650-474-2020
Mailing Address - Fax:650-474-3600
Practice Address - Street 1:1005 EL CAMINO REAL
Practice Address - Street 2:STE B3
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1692
Practice Address - Country:US
Practice Address - Phone:650-474-2020
Practice Address - Fax:650-474-3600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMERGING VISION INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier