Organization
BRYAN EIDAL, OD OPTOMETRIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN EIDAL O.D. (OWNER)
(559) 638-2246
Entity
Organization
Contact information
Practice address
1630 11TH ST, REEDLEY, CA 93654-2902
(559) 638-2246
(559) 638-3777
Mailing address
1630 11TH ST, REEDLEY, CA 93654-2902
(559) 638-2246
(559) 638-3777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3673339
—
CA
Enumeration date
03/03/2010
Last updated
09/04/2012
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