| NPI Details | |
|---|---|
| NPI | 1093038127 |
| Enumeration Date | 03/03/2010 |
| Last Updated | 09/04/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 8 years ago |
| Authorized Information | |
|---|---|
| Name | BRYAN BRYAN |
| Position | OWNER |
| Phone | (559) 638-2246 |
| Fax | (559) 638-3777 |
| Practice Location | |
|---|---|
| 1630 11TH ST REEDLEY CA, 93654-2902, US |
|
| Phone | (559) 638-2246 |
| Fax | (559) 638-3777 |
| Business Location | |
|---|---|
| 1630 11TH ST REEDLEY CA, 93654-2902, US |
|
| Phone | (559) 638-2246 |
| Fax | (559) 638-3777 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | California |
| License Number | 12890 |
| Remove 1093038127 NPI Number | |
According to our database, Bryan Eidal, Od Optometric Inc NPI is 1093038127, taxonomy code is 152W00000X and license number is 12890, license state is located at California. Bryan Eidal, Od Optometric Inc physically located at 1630 11th St, Reedley CA, 93654-2902. NPI Number 1033115704 has the healthcare provider type.
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1093038127 NPI number is provided on an as is basis without warranty of any kind. 1093038127 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Eidal, Od Optometric Inc are for informational purposes only.
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