Eye Medical Clinic Of Fresno, In.C
Optometrist in Fresno, CA. Organization (NPI-2).
NPI number1124458906
StatusActive
Last updated in NPPESNov 15, 2013
Details
- NPI
- 1124458906
- Entity type
- Organization (NPI-2)
- Legal business name
- Eye Medical Clinic Of Fresno, In.C
- Organization subpart
- No
- Enumeration date
- Nov 15, 2013
- Last updated
- Nov 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 11637T | CA | Yes |
Other names
- Eye Medical Center Of Fresno (Doing Business As)
Practice location
1122 S StFresno, CA 93721-1498
Phone 559-486-5000
Mailing address
1122 S StFresno, CA 93721-1498
Phone 559-486-5000
Authorized official
Denise R Haar
Administrator
5594865000
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