Organization
DOUGLAS O. CHARTERS & KENNETH L. HIEB
Active
Other names
VISALIA VALLEY OPTOMETRIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LYLE HIEB O.D. (PARTNER)
(559) 733-9966
Entity
Organization
Contact information
Practice address
3749 S MOONEY BLVD, VISALIA, CA 93277-8000
(559) 733-9966
(559) 625-8913
Mailing address
3749 S MOONEY BLVD, VISALIA, CA 93277-8000
(559) 733-9966
(559) 625-8913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422920001
MEDICARE D.M.E. GROUP I.D
CA
05
—
ZZZ75398Z
—
CA
Enumeration date
03/16/2007
Last updated
03/12/2012
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