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Contact Information

DR R D LANDSKRONER & DR R CARLSON OPTOMETRISTS INC
1030 FULTON MALL
FRESNO, CA93721
 Phone: 559-268-5577
 Fax: 559-268-9989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR R D LANDSKRONER & DR R CARLSON OPTOMETRISTS INC

NPI Number 1891857744
LBN Legal business name DR R D LANDSKRONER & DR R CARLSON OPTOMETRISTS INC
Authorized official RAYMOND CARLSON - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2006
Last updated 10/22/2008 - About 18 years ago
Identifiers
CA License # 9893T
CA Medicaid SD0098930
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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