Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fourth Optometric Care of California

Organization Optometrist · NPI 1750052189

Fourth Optometric Care of California is an Optometrist in San Bruno, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

648 Jenevein Ave
San Bruno, CA 94066-4230
Phone: (650) 871-1816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1750052189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittany Harrison — Director · (512) 316-4603
Other names Peninsula Family Optometric Group
NPI enumeratedSeptember 24, 2021
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address3333 Quality Dr, Rancho Cordova, CA 95670-7985

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