Peter S. Klem Fred P. Guarcello Ptr

LBN: Peter S. Klem Fred P. Guarcello Ptr
Peter S. Klem Fred P. Guarcello Ptr is an health care organization with primary practice located at 4028 Dale Road Suite 102, Modesto CA 95356-9561. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Peter S. Klem Fred P. Guarcello Ptr can be contacted via phone (209) 527-7784, or through Guarcello, Fred Paul via phone (209) 527-7784.

Contact Information

Primary practice address
4028 Dale Road Suite 102 Modesto CA 95356-9561
Phone: (209) 527-7784
Fax: (209) 527-5079
Website:
Map and Directions
Authorized official contact:
Name: Guarcello, Fred Paul Doctor of Optometry (OD)
Phone: (209) 527-7784

Health care specialties

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

Profile Details

NPI number 1366600082
LBN Legal business name Peter S. Klem Fred P. Guarcello Ptr
DBA Doing business as
Authorized official Guarcello, Fred Paul Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2008
Last updated Jun 15th, 2011 - about 14 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 1366600082 NPPES
California MEDICAID 1366600082

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