Individual
DR. GERALD L DILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1360 E HERNDON AVE STE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Mailing address
1360 E HERNDON AVE STE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7790T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004050
—
CA
05
—
GSD004051
—
CA
05
—
GSD004052
—
CA
05
—
GSD004053
—
CA
05
—
GSD004054
—
CA
05
—
SD0077900
—
CA
Enumeration date
02/07/2006
Last updated
05/03/2012
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