NPIMap

Organization Active NPI

Eye Medical Clinic of Fresno, in.C

  • Optometrist
  • Fresno, CA
National Provider Identifier
1124458906
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11637T Issued in CA
Legal business name
EYE MEDICAL CLINIC OF FRESNO, IN.C
Practice address
1122 S St
Fresno, CA 93721-1498
Phone
(559) 486-5000
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Denise R Haar
Title
Administrator
Phone
(559) 486-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11637T CA Primary

Addresses

Primary practice location

1122 S St
Fresno, CA 93721-1498

Mailing address

1122 S St
Fresno, CA 93721-1498
Phone (559) 486-5000

Other names 1

  • Eye Medical Center of Fresno Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Medical Center of Fresno2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1124458906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211498",
            "telephone_number": "559-486-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211498",
            "telephone_number": "559-486-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MEDICAL CLINIC OF FRESNO, IN.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "HAAR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-486-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11637T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Medical Center of Fresno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.