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STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY
NPI 1659588739
Eyewear Supplier in Crescent City, CA

Active since May 17, 2007
5905 LAKE EARL DRIVE, CRESCENT CITY, CA 95531(707) 465-1000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1659588739) is a healthcare organization registered as an eyewear supplier in Crescent City, 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

NPI1659588739
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSTATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY
Location Address5905 LAKE EARL DRIVECrescent City, CA 95531
Mailing AddressPo Box 127Napa, CA 94559-0127
Phone(707) 465-1000
Organization SubpartNo
Authorized OfficialEarl C. ShatzerBranch Manager · (916) 358-1721
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659588739 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.
5905 LAKE EARL DRIVE, Crescent City, CA 95531
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Other Identifiers 1

MedicaidPIA000101CA

Other Providers at the Same Location NPPES 4

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

DR. THOMAS CHANEZ D.D.S.
Dentist
5905 LAKE EARL DRIVE
CRESCENT CITY, CA 95531
Del Norte County (707) 465-1000
JOHN L MOULTON III PH D
Psychologist
5905 LAKE EARL DRIVE
CRESCENT CITY, CA 95531
Del Norte County (707) 465-1000
SUE ELLEN RISENHOOVER CFNP
Nurse Practitioner (Family)
5905 LAKE EARL DRIVE
CRESCENT CITY, CA 95531
Del Norte County (707) 464-1000
DR. ROBERT MING PHANG D.D.S.
Dentist
5905 LAKE EARL DRIVE
CRESCENT CITY, CA 95531
Del Norte County (707) 465-1000

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 State Of California Prison Industry Authority's NPI number?

The NPI number for State Of California Prison Industry Authority is 1659588739. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is State Of California Prison Industry Authority located?

State Of California Prison Industry Authority is located at 5905 Lake Earl Drive, Crescent City, CA 95531. The listed phone number is (707) 465-1000.

What is State Of California Prison Industry Authority'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 State Of California Prison Industry Authority was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.