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Organization
TAMANO FLETCHER CORP.
Active
Organization
TAMANO FLETCHER CORP.
Active
Other names
Hospitality Eyecare Center of Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORILYN TAMANO FLETCHER O.D. (PRESIDENT)
(909) 383-5000
Entity
Organization
Contact information
Practice address
164 W. HOSPITALITY LANE, STE.7, SAN BERNARDINO, CA 92408-3329
(909) 383-5000
(909) 383-5010
Mailing address
164 W. HOSPITALITY LANE, STE.7, SAN BERNARDINO, CA 92408-3329
(909) 383-5000
(909) 383-5010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HB824A
MEDICARE PTAN
—
Enumeration date
09/05/2012
Last updated
03/18/2014
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