Fishback, Robert Glen

Fishback, Robert Glen is an sole proprietor health care provider with primary practice located at 1015 N Demaree St , Visalia CA 93291-4117. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fishback, Robert Glen can be contacted via phone (559) 733-1036.

Contact Information

Primary practice address
1015 N Demaree St Visalia CA 93291-4117
Phone: (559) 733-1036
Fax: (559) 733-1037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5664 California

Profile Details

NPI number 1710078944
LBN Legal business name Fishback, Robert Glen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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