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FREDRICK FEIL OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1619049509
Individual Registrant: FREDRICK FEIL OD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
262 MAIN STREET CHESTER, CA 96020 US
Tel: 530-258-3101 Fax: 530-258-2020
Tel: 530-258-3101 Fax: 530-258-2020
Contact information for business:
PO BOX 1880 CHESTER, CA 96020 US
Tel: 530-258-3101 Fax: 530-258-2020
Tel: 530-258-3101 Fax: 530-258-2020
Registration Information:
NPI: 1619049509
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | OPT9579TPG |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| SD0095790 | CA | 05 |
