PRIME OPTICAL
NPI 1609247279
Eyewear Supplier in San Bernardino, CA

Active since October 08, 2015
407 E GILBERT ST, SUITE # 10, SAN BERNARDINO, CA 92404(909) 888-8700(909) 888-8710 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Optical NPPES

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

PRIME OPTICAL (NPI 1609247279) is a healthcare organization registered as an eyewear supplier in San Bernardino, California and active in the NPI registry since October 2015. The organization lists Mariano Salcedo, Owner/optician, as its authorized official.

NPPES Registry Identity

NPI1609247279
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePRIME OPTICAL
Location Address407 E GILBERT ST, SUITE # 10San Bernardino, CA 92404-5325
Mailing Address407 E Gilbert St, Suite # 10San Bernardino, CA 92404-5325 · (909) 888-8700 · Fax (909) 888-8710
Fax(909) 888-8710
Organization SubpartNo
Authorized OfficialMariano SalcedoOwner/optician · (909) 888-8700
Enumeration DateOctober 8, 2015
NPI 1609247279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in CA · SL40434
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
407 E GILBERT ST, San Bernardino, CA 92404

Other Identifiers 1

Other8005541312CA · Ein

Other Providers at the Same Location NPPES 2

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

Community Health Worker
407 E GILBERT ST
SAN BERNARDINO, CA 92404
Nurse Practitioner (Women's Health)
407 E GILBERT ST
SAN BERNARDINO, CA 92404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Optical's NPI number?

The NPI number for Prime Optical is 1609247279. It was assigned to this organization in the NPPES registry on October 8, 2015.

Where is Prime Optical located?

Prime Optical is located at 407 E Gilbert St Suite # 10, San Bernardino, CA 92404. The listed phone number is (909) 888-8700.

What is Prime Optical's specialty?

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

When was this NPI record last updated?

The NPPES record for Prime Optical was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.