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Organization
NICK C KAZARIAN
Active
Organization
NICK C KAZARIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK C KAZARIAN O.D. (OWNER)
(559) 486-0731
Entity
Organization
Contact information
Practice address
5786 S ELM AVE, FRESNO, CA 93706-5813
(559) 486-0731
(559) 486-0122
Mailing address
5786 S ELM AVE, FRESNO, CA 93706-5813
(559) 486-0731
(559) 486-0122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07240-T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02220
MEDICAL EYE SERVICES
CA
01
—
211379
EYEMED VISION
CA
01
—
45386
SAFEGUARD VISION
CA
05
—
SD0072400
—
CA
Enumeration date
09/14/2007
Last updated
06/17/2008
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