Organization
DAVID R. SIVAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R. SIVAS O.D. (OWNER)
(559) 251-8272
Entity
Organization
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
Enumeration date
10/31/2007
Last updated
03/26/2010
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