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Organization
LIFETIME OPTOMETRIC
Active
Organization
LIFETIME OPTOMETRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY SCHOONOVER (MANAGER)
(559) 432-2200
Entity
Organization
Contact information
Practice address
1111 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3100
(559) 432-2200
(559) 432-2203
Mailing address
1111 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3100
(559) 432-2200
(559) 432-2203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT13190
CA
152W00000X
Optometrist
Primary
OPT6949
CA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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