Individual
DR. DOUGLAS OWEN CHARTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5770 N FIRST ST, FRESNO, CA 93710
(559) 432-1700
(559) 435-9521
Mailing address
5770 N FIRST ST, FRESNO, CA 93710
(559) 432-1700
(559) 435-9521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4642T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154389476
—
CA
Enumeration date
05/03/2006
Last updated
04/17/2008
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