EYES OF FAIRFIELD (NPI# 1477760494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477760494 |
| Entity Type | Organization |
| Organization Name | EYES OF FAIRFIELD |
| Other Organization Name | SITE FOR SORE EYES |
| Practice Address |
1350 Travis Blvd #1414 A Fairfield CA 94533-4646 |
| Practice Telephone | 7074212020 |
| Practice Fax Number | 7074272313 |
| Mailing Telephone | 7074212020 |
| Mailing Fax Number | 7074272313 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MOHAMMAD KHODAMARDI (PRESIDENT) |
| Authorized Official Telephone | 7074212020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
90000946 | CA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Site For Sore Eyes | Doing Business As Name - Organization |
| Street Address |
1350 TRAVIS BLVD #1414 A |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598855942 | Judy Su | Dentist | 1350 Travis Blvd, #1447b, Fairfield, CA 94533-4646 | 2006-10-14 |
| 1760936462 | Frank J Chen Dds and Judy Su Dds A Professional Dental Corporation | Dentist | 1350 Travis Blvd, Suite 1447b, Fairfield, CA 94533-3432 | 2016-08-10 |
| 1265831564 | Cory Hayes Hakanen | Optometrist | 1350 Travis Blvd, Fairfield, CA 94533-3432 | 2014-08-22 |
| 1710285747 | Visioncare of California | Optometrist | 1350 Travis Blvd, Fairfield, CA 94533-4646 | 2011-02-28 |
| 1689720625 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1350 Travis Blvd, Solano Mall, Fairfield, CA 94533-4646 | 2007-01-25 |
| 1952454712 | David Leonard Meltzer | Optometrist | 1350 Travis Blvd, Solano Mall, Fairfield, CA 94533-4646 | 2007-01-18 |
| 1346305323 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 1350 Travis Blvd, Solano Mall Ste 1524b, Fairfield, CA 94533-4646 | 2006-12-27 |
| 1194809343 | Frank J Chen | Dentist | 1350 Travis Blvd, #1447b, Fairfield, CA 94533-4646 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
| 1659698660 | Glenn T. Bemus | Technician/Technologist | 2480 Black Rock Tpke, Fairfield, CT 06825-2406 | 2010-04-29 |
| 1487890638 | Christopher Cannella | Technician/Technologist | 2385 Black Rock Tpke, Fairfield, CT 06825-3229 | 2008-12-17 |
| 1467560524 | Parklane Opticians of Fairfield,inc | Technician/Technologist | 1430 Post Road, Fairfield, CT 06824 | 2006-08-29 |
| 1033662911 | Dana Meeks | Technician/Technologist | 211 Donald Dr, Suite B, Fairfield, OH 45014-3006 | 2016-07-27 |
| 1902207442 | Usv Optical Inc. | Technician/Technologist | 40 Black Rock Tpke, Fairfield, CT 06825-5507 | 2014-09-15 |
| 1932356680 | Eyeowa Optical Company | Technician/Technologist | 122 N Court St, Fairfield, IA 52556-2815 | 2008-08-25 |
| 1831287382 | Wal-mart Stores Inc | Technician/Technologist | 2701 N Texas St, Fairfield, CA 94534 | 2006-10-10 |
| 1972609261 | Wal-mart Stores East, Lp | Technician/Technologist | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EYES OF FAIRFIELD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.