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Individual
DR. MILTON FADER
Active
Individual
DR. MILTON FADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA 5080 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140
VISION PLAN OF AMERICA
CA
01
—
03168
MEDICAL EYE SERVICE
CA
01
—
1733
HEALTH NET
CA
01
—
2504
GOLDEN WEST
CA
01
—
2505
DAVIS VISION
CA
01
—
4752
CARE 1ST
CA
01
—
CA5080
EYE MED
CA
01
—
MF06054
SPECTERA
CA
05
—
SD0050801
—
CA
Enumeration date
03/27/2007
Last updated
07/09/2007
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