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PENINSULA FAMILY OPTOMETRIC GROUP
NPI 1750052189
Optometrist in San Bruno, CA

Active since September 24, 2021
648 JENEVEIN AVE, SAN BRUNO, CA 94066(650) 871-1816 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, Sep 24, 2021 (2 updates tracked since 2021).

About Peninsula Family Optometric Group NPPES

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

PENINSULA FAMILY OPTOMETRIC GROUP (NPI 1750052189) is a healthcare organization registered as an optometrist in San Bruno, California and active in the NPI registry since September 2021. The organization lists Brittany Harrison, Director, as its authorized official.

NPPES Registry Identity

NPI1750052189
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFOURTH OPTOMETRIC CARE OF CALIFORNIA
Location Address648 JENEVEIN AVESan Bruno, CA 94066-4230
Mailing Address3333 Quality DrRancho Cordova, CA 95670-7985
Phone(650) 871-1816
Organization SubpartNo
Authorized OfficialBrittany HarrisonDirector · (512) 316-4603
Enumeration DateSeptember 24, 2021
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1750052189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
648 JENEVEIN AVE, San Bruno, CA 94066
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Other Names 1

Doing Business AsPeninsula Family Optometric Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

SHINIL THOMAS
Dentist (General Practice)
648 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 583-9888
DR. THOMAS A ALLER O.D.
Optometrist
648 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 871-1816
DR. THOMAS ALLER OPTOMETRIST, INC.
Optometrist
648 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 871-1816

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 Fourth Optometric Care Of California's NPI number?

The NPI number for Fourth Optometric Care Of California is 1750052189. It was assigned to this organization in the NPPES registry on September 24, 2021. The provider is doing business as Peninsula Family Optometric Group.

Where is Fourth Optometric Care Of California located?

Fourth Optometric Care Of California is located at 648 Jenevein Ave, San Bruno, CA 94066. The listed phone number is (650) 871-1816.

What is Fourth Optometric Care Of California's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Fourth Optometric Care Of California was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.