# EYE MEDICAL CLINIC OF FRESNO, INC.

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

## Provider details

- **NPI number:** 1659388700
- **Authorized official:** DENISE HAAR (ADMINISTRATOR)
- **Authorized official phone:** (559) 449-5097

## Contact information

- **Practice address:** 1122 S STREET, FRESNO, CA 93721
- **Practice address phone:** (559) 449-5097
- **Practice address fax:** (559) 439-6804
- **Mailing address:** 1122 S STREET, FRESNO, CA 93721
- **Mailing address phone:** (559) 449-5097
- **Mailing address fax:** (559) 439-6804

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 05/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZZ49159Z | — | CA |