STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY (NPI# 1659588739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659588739 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY |
| Practice Address |
5905 Lake Earl Drive Crescent City CA 95531 |
| Mailing Address |
Po Box 127 Napa CA 94559-0127 |
| Practice Telephone | 7074651000 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EARL C. SHATZER (BRANCH MANAGER) |
| Authorized Official Telephone | 9163581721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PIA000101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316908635 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 560 E Natoma St, Folsom, CA 95630-2233 | 2006-03-28 |
| 1518598952 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 23370 Road 22, Chowchilla, CA 93610-8504 | 2020-02-03 |
| 1588871669 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 2100 Peabody Road, Vacaville, CA 95687 | 2007-05-17 |
| 1649487729 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 23370 Road 22, Chowchilla, CA 93610 | 2007-05-17 |
| 1356558001 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 480 Alta Rd, San Diego, CA 92179-0001 | 2007-05-16 |
| Street Address |
5905 LAKE EARL DRIVE |
| City | CRESCENT CITY |
| State | CA |
| Zip Code | 95531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285669200 | John L Moulton IIi | Psychologist | 5905 Lake Earl Drive, Crescent City, CA 95531 | 2006-07-11 |
| 1467663203 | Robert Ming Phang | Dentist | 5905 Lake Earl Drive, Crescent City, CA 95531 | 2007-05-24 |
| 1336262336 | Sue Ellen Risenhoover | Nurse Practitioner | 5905 Lake Earl Drive, Crescent City, CA 95531 | 2007-04-06 |
| 1184743478 | Thomas Chanez | Dentist | 5905 Lake Earl Drive, Crescent City, CA 95531-7000 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
| 1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
| 1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
| 1447638044 | Yelena Zaitseva Lavender | Counselor | 455 K Street, Crescent City, CA 95531 | 2015-05-14 |
| 1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
| Find all providers in zip 95531 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346399433 | Pacific Vision Medical Center | Eyewear Supplier (Equipment, not the service) | 515 E Washington Blvd, Crescent City, CA 95531-8342 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1295333029 | Tiger & Lion Inc | Eyewear Supplier (Equipment, not the service) | 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 | 2020-10-14 |
| 1245866565 | Joshua Adolfo Velasquez | Eyewear Supplier (Equipment, not the service) | 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 | 2020-03-18 |
| 1952948424 | Luvc LLC | Eyewear Supplier (Equipment, not the service) | 2223 Carlton Ave, Pomona, CA 91768-1015 | 2019-12-04 |
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1184270746 | Nueyes Technologies Inc | Eyewear Supplier (Equipment, not the service) | 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 | 2019-08-09 |
| 1881248102 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 | 2019-07-25 |
| 1730732363 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | CRESCENT CITY |
| Zip Code | 95531 |
Please comment or provide details below to improve the information on STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY.
| 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.