EYE MEDICAL CLINIC OF FRESNO INC NPI 1306853452

NPI Information

  • NPI: 1306853452
  • Provider Name: EYE MEDICAL CLINIC OF FRESNO, INC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 1360 E HERNDON AVE
    SUITE 301
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 486-5000

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NPI Details

EYE MEDICAL CLINIC OF FRESNO, INC is an ophthalmology in Fresno, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE MEDICAL CLINIC OF FRESNO, INC NPI is 1306853452. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1360 E HERNDON AVE
SUITE 301
FRESNO, CA
ZIP 93720-326
Phone: (559) 486-5000
Fax: (559) 439-7854

The provider's authorized official is George A. Bertolucci .
The authorized official title is President and has the following contact phone number (559) 449-5097.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 11/24/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ17909ZMEDICAIDCALIFORNIA
2CI3011MEDICARE PINCALIFORNIA
3GSD005250MEDICAIDCALIFORNIA
4ZZZ17909ZMEDICARE PINCALIFORNIA
50395590001MEDICARE NSCCALIFORNIA

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: 3/30/2025

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