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Organization

FOGG REMINGTON EYECARE, INC.

Active
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Organization

FOGG REMINGTON EYECARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAULA PENDLEY (CREDENTIALING)
(559) 449-5011
Entity
Organization

Contact information

Practice address
3830 N 1ST ST, FRESNO, CA 93726-4301
(559) 226-3971
(559) 241-0368
Mailing address
1360 E HERNDON AVE, 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1304310003
CIGNA MEDICARE DMERC
CA
05
—
GR0078920
—
CA
Enumeration date
04/08/2006
Last updated
04/05/2022
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