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LEYBIN LAKESIDE OPTICAL NPI 1598805269


NPI Information

NPI: 1598805269
Provider Name: LEYBIN LAKESIDE OPTICAL
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
2645 OCEAN AVE
SUITE #2
SAN FRANCISCO, CA
ZIP 94132
Phone: (415) 334-2022
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LEYBIN LAKESIDE OPTICAL is an optician technician technologist in San Francisco, CA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. LEYBIN LAKESIDE OPTICAL NPI is 1598805269. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2645 OCEAN AVE
SUITE #2
SAN FRANCISCO, CA
ZIP 94132-633
Phone: (415) 334-2022

The provider's authorized official is Leonid Leonard Leybin .
The authorized official title is Owner and has the following contact phone number (415) 334-2022.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianSL799CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10818490001MEDICARE PINCALIFORNIA
2DX003943FMEDICAIDCALIFORNIA
3=========OTHERCALIFORNIAFEDERAL TAX ID
40818490001MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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