Individual
DR. HEIDI MICHELE FAHRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3840 MAIN STREET, CULVER CITY, CA 90232
(310) 839-2090
(310) 204-5858
Mailing address
3840 MAIN STREET, CULVER CITY, CA 90232
(310) 839-2090
(310) 204-5858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11632T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13891
MES MEDICAL EYE SERVICES
—
01
—
1517
VISION PLAN OF AMERICA
—
01
—
170719
EDS CCS GHP
—
01
—
204496V
CIGNA
CA
01
—
204972
CIGNA
CA
01
—
3108392090
VSP
—
01
—
7798400
AETNA
CA
01
—
CA11632
VISION BENEFIT OF AMERICA
—
01
—
CA1632
EVE MED
—
Enumeration date
07/10/2006
Last updated
09/04/2008
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