Avani Patel Optometric Corporation
Optometrist in Fresno, CA. Organization (NPI-2).
NPI number1659096220
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1659096220
- Entity type
- Organization (NPI-2)
- Legal business name
- Avani Patel Optometric Corporation
- Organization subpart
- No
- Enumeration date
- Oct 6, 2022
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
4983 N Blackstone AveFresno, CA 93726-0109
Phone 510-731-7873
Mailing address
4983 N Blackstone AveFresno, CA 93726-0109
Authorized official
Avani Patel
Owner
5104576300
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