Larry R Fabian & Jeffrey M Fanelli Ptrs Westside Family Vision Center

NPI 1255406690 - Optometrist - 152W00000X

NPI Details
NPI 1255406690
Enumeration Date 11/21/2006
Last Updated 06/07/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NANCY NANCY
Position OPTICIAN
Phone (408) 370-7303
Fax (408) 370-7405
Practice Location
18780 COX AVE
SARATOGA CA, 95070-4109, US
Phone (408) 370-7303
Fax (408) 370-7405
Business Location
1817 HAMILTON AVE
SAN JOSE CA, 95125-5624, US
Phone (408) 264-1555
Fax (408) 264-1562
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number BOL2584
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According to our database, Larry R Fabian & Jeffrey M Fanelli Ptrs Westside Family Vision Center NPI is 1255406690, taxonomy code is 152W00000X and license number is BOL2584, license state is located at California. Larry R Fabian & Jeffrey M Fanelli Ptrs Westside Family Vision Center physically located at 18780 Cox Ave, Saratoga CA, 95070-4109. NPI Number 1033115704 has the healthcare provider type.

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1255406690 NPI number is provided on an as is basis without warranty of any kind. 1255406690 is maintained by the National Plan & Provider Enumeration System. The contents of Larry R Fabian & Jeffrey M Fanelli Ptrs Westside Family Vision Center are for informational purposes only.