Organization
DOUGLAS O. FLEMING, O.D., INC.
Active
Other names
Sierra Vista Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS O. FLEMING OD (OWNER)
(209) 532-4123
Entity
Organization
Contact information
Practice address
940 SYLVA LN STE H, SONORA, CA 95370-5969
(209) 532-4123
Mailing address
940 SYLVA LN STE H, SONORA, CA 95370-5969
(209) 532-4123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9525T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000290
—
CA
Enumeration date
05/03/2007
Last updated
08/22/2020
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