Mendocino Optical Co INC
NPI #1528002201 in Ukiah, California
Provider Information
- NPI Number
- 1528002201
- Entity Type
- Organization
- Organization Name
- Mendocino Optical Co INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 280 S SCHOOL ST
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-4828
- Phone
- (707) 462-2744
Authorized Official
- Name
- MRS. ANNE MARIE NIX, LDO
- Title
- OWNER OPTICIAN
- Phone
- (707) 462-2744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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