STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY
NPI 1356558001
Eyewear Supplier in San Diego, CA

Q: What is State Of California Prison Industry Authority's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since May 16, 2007

480 ALTA RD, SAN DIEGO, CA 92179(619) 661-6500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About State Of California Prison Industry Authority NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY (NPI 1356558001) is a healthcare organization registered as an eyewear supplier in San Diego, California and active in the NPI registry since May 2007. The organization lists Earl C. Shatzer, Branch Manager, as its authorized official.

NPPES Registry Identity

NPI1356558001

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSTATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY

Location Address480 ALTA RDSan Diego, CA 92179-0001

Mailing AddressPo Box 127Napa, CA 94559-0127

Phone(619) 661-6500

Organization SubpartNo

Authorized OfficialEarl C. ShatzerBranch Manager · (916) 358-1721

Enumeration DateMay 16, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1356558001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

480 ALTA RD, San Diego, CA 92179

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Other Identifiers 1

MedicaidPIA000100CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAFAEL ELIAS OLIVARES CHAYEB

Psychologist (Clinical)