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Organization

DR. MARGARETTE RECALDE, OD, INC.

Active
Other names
Lifetime Optometric
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARGARETTE RECALDE (OWNER)
(559) 432-2200
Entity
Organization

Contact information

Practice address
1111 E. HERNDON AVE. STE 101, FRESNO, CA 93720-3100
(559) 432-2200
(559) 432-2203
Mailing address
1111 E HERNDON AVE STE 101, FRESNO, CA 93720-3100
(559) 432-2200
(559) 432-2203

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SD0114360
MEDICARE
CA
01
U97638
MEDICARE UPIN
CA
Enumeration date
07/31/2017
Last updated
08/05/2022
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