Eye Medical Clinic Of Fresno, Inc

LBN: Eye Medical Clinic Of Fresno, Inc
Eye Medical Clinic Of Fresno, Inc is an health care organization with primary practice located at 1360 E Herndon Ave Suite 301, Fresno CA 93720-3326. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eye Medical Clinic Of Fresno, Inc can be contacted via phone (559) 486-5000, or through Bertolucci, George A. via phone (559) 449-5097.

Contact Information

Primary practice address
1360 E Herndon Ave Suite 301 Fresno CA 93720-3326
Fax: (559) 439-7854
Website:
Authorized official contact:
Name: Bertolucci, George A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1306853452
LBN Legal business name Eye Medical Clinic Of Fresno, Inc
DBA Doing business as
Authorized official Bertolucci, George A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 24th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306853452 NPPES
California MEDICAID GSD005250
California MEDICAID ZZZ17909Z

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