Fleming, Douglas O
Fleming, Douglas O is an individual health care provider with primary practice located at 940 Sylva Ln Ste H , Sonora CA 95370-5969. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fleming, Douglas O can be contacted via phone (209) 532-4123.Contact Information
Primary practice address
940 Sylva Ln Ste H
Sonora CA 95370-5969
Phone: (209) 532-4123
Fax: (209) 532-6749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9525T | California |
Profile Details
| NPI number | 1871524611 |
|---|---|
| LBN Legal business name | Fleming, Douglas O |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Mar 8th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871524611 | NPPES |
| California | MEDICAID | GSD000290 |
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