Organization
FOGG REMINGTON EYECARE, INC.
Active
Parent organization
FOGG REMINGTON EYECARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOGG REMINGTON EYECARE, INC.
Authorized official
MS. PAULA PENDLEY (CREDENTIALING)
(559) 449-5011
Entity
Organization
Contact information
Practice address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5010
Mailing address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004050
—
CA
Enumeration date
04/08/2006
Last updated
04/05/2022
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