Organization
VISION FAIRE OPTOMETRY, INC. A PROFESSIONAL OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY ELAINE SHOJI OD (PRESIDENT)
(209) 545-3937
Entity
Organization
Contact information
Practice address
4213 DALE RD STE A-2, MODESTO, CA 95356-8505
(209) 545-3937
(209) 545-0204
Mailing address
4213 DALE RD STE A-2, MODESTO, CA 95356-8505
(209) 545-3937
(209) 545-0204
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538139464
NPI
—
Enumeration date
10/22/2020
Last updated
10/22/2020
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