Individual
DR. DAVID RICHARD SIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5781 E KINGS CANYON RD, FRESNO, CA 93727-4743
(559) 251-8272
(559) 251-4057
Mailing address
5781 E KINGS CANYON RD, FRESNO, CA 93727-4743
(559) 251-8272
(559) 251-4057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6352T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211241
EYEMED
CA
01
—
3156
MESC
CA
01
—
46462
SAFEGARD ID NUMBER
CA
05
—
SD0063520
—
CA
Enumeration date
02/19/2006
Last updated
03/26/2010
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