Brian Calvert, O.D.
Optometrist in Fortuna, CA. Individual provider (NPI-1).
NPI number1790778017
StatusActive
Last updated in NPPESMay 5, 2008
Details
- NPI
- 1790778017
- Entity type
- Individual (NPI-1)
- Name
- Brian Calvert
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2005
- Last updated
- May 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 11045 | CA | Yes |
Practice location
3429 Renner DrFortuna, CA 95540-3104
Phone 707-725-5255 · Fax 707-725-8833
Mailing address
3429 Renner DrFortuna, CA 95540-3104
Phone 707-725-5255 · Fax 707-725-8833
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