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Organization
PAJE OPTOMETRIC A PROFESSIONAL CORPORATION
Active
Organization
PAJE OPTOMETRIC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H FIMREITE OD (PRESIDENT/ OPTOMETRIST)
(714) 557-9492
Entity
Organization
Contact information
Practice address
2414 S FAIRVIEW ST, #103, SANTA ANA, CA 92704-5318
(714) 557-9492
(714) 557-2548
Mailing address
2414 S FAIRVIEW ST, #103, SANTA ANA, CA 92704-5318
(714) 557-9492
(714) 557-2548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
COR966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS942A
MEDICARE PTAN
CA
01
—
BS942B
MEDICARE PTAN
CA
01
—
BS942C
MEDICARE PTAN
CA
05
—
GSD004350
—
CA
01
—
W16179
MEDICARE PTAN
CA
01
—
W16179A
MEDICARE PTAN
CA
Enumeration date
09/08/2006
Last updated
08/15/2023
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