| Hayward Optometry, Inc. | |
|
865 B St Hayward CA 94541-5107 | |
| (510) 733-3105 | |
| Not Available |
| Full Name | Hayward Optometry, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 865 B St, Hayward, California |
| Authorized Official Name and Position | Thanh Huy Pham (OPTOMETRIST) |
| Authorized Official Contact | 5107333105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayward Optometry, Inc. 865 B St Hayward CA 94541-5107 Ph: (510) 733-3105 | Hayward Optometry, Inc. 865 B St Hayward CA 94541-5107 Ph: (510) 733-3105 |
| NPI Number | 1306966270 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306966270 | NPI | - | NPPES |
| SD0120520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 12052T (California) | Primary |
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