Organization
DR. JOHN E. FAGAN, OPTOMETRIST, INC.
Active
Other names
Dr. John E. Fagan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD FAGAN JR. O.D. (PRESIDENT)
(661) 822-1212
Entity
Organization
Contact information
Practice address
20231 W VALLEY BLVD, SUITE G, TEHACHAPI, CA 93561-6865
(661) 822-1212
(661) 822-3296
Mailing address
20231 W VALLEY BLVD, SUITE G, TEHACHAPI, CA 93561-6865
(661) 822-1212
(661) 822-3296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7946T
CA
261QC1800X
Corporate Health Clinic/Center
7946T
CA
Other
Enumeration date
10/17/2008
Last updated
03/25/2009
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