BARRY L FALLESEN, Optometrist GRIDLEY, CA

Contact Information

BARRY L FALLESEN

235 SPRUCE ST
GRIDLEY, CA 95948

Phone: 530-846-2697
Fax: 530-846-6426
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for BARRY L FALLESEN · (Male)

NPI #	`1598738999`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/08/2006
Last updated	11/03/2010 - About 16 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # OPT6911TPL CA Medicaid SD0069110 Other 0870860001 CIGNA Other SD0069110 M CARE
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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