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Organization
NUT TREE OPTOMETRIC CORPORATION
Active
Organization
NUT TREE OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAHIM KABIR O.D. (PRESIDENT)
(916) 903-6876
Entity
Organization
Contact information
Practice address
1633 E MONTE VISTA AVE, 101, VACAVILLE, CA 95688-3106
(916) 903-6876
Mailing address
1633 E MONTE VISTA AVE, 101, VACAVILLE, CA 95688-3106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT13111TPL
CA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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