Fennema, Eric Matthew

Fennema, Eric Matthew is an sole proprietor health care provider with primary practice located at 29950 Haun Rd Suite 206, Sun City CA 92586-6526. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fennema, Eric Matthew can be contacted via phone (951) 679-0545.

Contact Information

Primary practice address
29950 Haun Rd Suite 206 Sun City CA 92586-6526
Phone: (951) 679-0545
Fax: (951) 679-6154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT8225TPL California

Profile Details

NPI number 1710048939
LBN Legal business name Fennema, Eric Matthew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Sep 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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