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LARRY R FABIAN & JEFFREY M FANELLI PTRS WESTSIDE FAMILY VISION CENTER NPI 1255406690


NPI Information

NPI: 1255406690
Provider Name: LARRY R FABIAN & JEFFREY M FANELLI PTRS WESTSIDE FAMILY VISION CENTER

Doing Business As: SARATOGA VISION CENTER

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
18780 COX AVE
SARATOGA, CA
ZIP 95070
Phone: (408) 370-7303
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LARRY R FABIAN & JEFFREY M FANELLI PTRS WESTSIDE FAMILY VISION CENTER is an optometrist in Saratoga, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LARRY R FABIAN & JEFFREY M FANELLI PTRS WESTSIDE FAMILY VISION CENTER NPI is 1255406690. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Saratoga Vision Center.

The provider's business location address is:

18780 COX AVE
SARATOGA, CA
ZIP 95070-109
Phone: (408) 370-7303
Fax: (408) 370-7405

The provider's authorized official is Nancy Le .
The authorized official title is Optician and has the following contact phone number (408) 370-7303.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 6/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristBOL2584CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U59123MEDICARE UPINCALIFORNIA
2ZZZ26218ZMEDICARE PINCALIFORNIA
3T10657MEDICARE UPINCALIFORNIA
40518290002MEDICARE NSCCALIFORNIA
5SD0105820MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMARY E. DOUGHERTY, O.D.
6T10437MEDICARE UPINCALIFORNIA
7SD0081680MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAJEFFREY M. FAMELLI, O.D.
8SD0069090MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIALARRY R. FABIAN, O.D.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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