Individual
DR. ERIC MATTHEW FENNEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
29950 HAUN RD, SUITE 206, SUN CITY, CA 92586-6526
(951) 679-0545
(951) 679-6154
Mailing address
29950 HAUN RD, SUITE 206, SUN CITY, CA 92586-6526
(951) 679-0545
(951) 679-6154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8225TPL
CA
Other
Enumeration date
12/12/2006
Last updated
09/15/2011
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