OrganizationActive
Prime Optical
NPI 1609247279 · Eyewear Supplier · San Bernardino, CA
Prime Optical is a Eyewear Supplier organization in San Bernardino, CA (NPI 1609247279).
Provider details
- NPI number
- 1609247279
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mariano Salcedo, Owner/Optician(909) 888-8700
- License
- SL40434 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
407 E Gilbert St
Suite # 10
San Bernardino, CA 92404-5325
Phone: (909) 888-8700
Fax: (909) 888-8710
Street-level locationGet directions
Mailing address
407 E Gilbert St
San Bernardino, CA 92404-5325
Registry dates
- Enumerated
- 2015-10-08
- Last updated
- 2015-10-08
Frequently asked questions
- What is Prime Optical's NPI number?
- Prime Optical's National Provider Identifier (NPI) is 1609247279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Optical?
- Prime Optical is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Prime Optical located?
- Prime Optical's practice location on file with NPPES is 407 E Gilbert St, San Bernardino, CA 92404-5325.
- What is Prime Optical's phone number?
- The practice phone number listed in the NPPES registry for Prime Optical is (909) 888-8700.
- Who is the authorized official for Prime Optical?
- The authorized official listed on Prime Optical's NPPES record is Mariano Salcedo, Owner/Optician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Optical's NPI active?
- Yes — Prime Optical's NPI (1609247279) is active in the NPPES registry as of the last update on 2015-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.