Fred P. Guarcello, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6453T Issued in CA

Legal business name

FRED P. GUARCELLO, OD

Practice address

1101 Standiford Ave
Suite a-2
Modesto, CA 95350-0982

Phone

(209) 527-7784

Fax

(209) 522-6415

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fred Paul Guarcello, O.D.NPI 1700812658

Title

Owner

Phone

(209) 527-7784

Specialties & licenses 1

Addresses

Tax ID family

Fred P Guarcello OD2 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.

• Fred P. Guarcello, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1417078650
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Paul Guarcello, O.D.

  • Corneal and Contact Management Optometrist
  • Roseville, CA
  • NPI 1700812658
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902935893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE",
            "address_2": "SUITE A-2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500982",
            "telephone_number": "209-527-7784",
            "fax_number": "209-522-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE",
            "address_2": "SUITE A-2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500982",
            "telephone_number": "209-527-7784",
            "fax_number": "209-522-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED P. GUARCELLO, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUARCELLO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-527-7784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6453T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Louis Frazier, MD
• Johnelle M Frazier
• Sheree D Frazier, R.A.S.
• Tala La-Fay Frazier, LCSW
• Fred Adams M.D. Inc
• Freedom Knee Scooter and Equipment Rental
• Allyson Freeman, HS DIPLOMA
• Ashley Freeman
• Derrick Brent Freeman
• Mary Beth Freeman

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.