Individual
DR. DONALD ALAN BISEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2801 WATERMAN BLVD, SUITE 160, FAIRFIELD, CA 94534-2987
(707) 427-5550
(707) 427-5551
Mailing address
2801 WATERMAN BLVD, SUITE 160, FAIRFIELD, CA 94534-2987
(707) 427-5550
(707) 427-5551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9890T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9890T
CALIF OPTOMETRY #
CA
05
—
SD0098900
—
CA
Enumeration date
11/09/2006
Last updated
07/09/2007
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