Organization
D DANZ & SONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO LOUIS ALCORTA BCO (PRESIDENT/BOARD CERTIFIED OCULARIST)
(559) 252-1770
Entity
Organization
Contact information
Practice address
2820 W CHARLESTON BLVD, BLDG D SUITE 39, LAS VEGAS, NV 89102-1942
(702) 258-6256
(702) 258-7383
Mailing address
4926 E YALE AVE, STE 102, FRESNO, CA 93727-1561
(559) 252-1770
(559) 252-1781
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
89-218-14
CA
335E00000X
Prosthetic/Orthotic Supplier
89-218-14
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DDX000040
—
CA
Enumeration date
04/06/2012
Last updated
05/01/2012
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