# FOGG REMINGTON EYECARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023070869
- **Authorized official:** MS. PAULA PENDLEY (CREDENTIALING)
- **Authorized official phone:** (559) 226-3975

## Contact information

- **Practice address:** 1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
- **Practice address phone:** (559) 449-5010
- **Practice address fax:** (559) 449-5014
- **Mailing address:** 1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
- **Mailing address phone:** (559) 449-5010
- **Mailing address fax:** (559) 449-5014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 04/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1304310002 | CIGNA MEDICARE DMERC | CA |
| 05 | — | GR0078922 | — | CA |