Individual
DR. BRYAN EIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
1630 11TH ST, REEDLEY, CA 93654-2902
(559) 638-2246
(559) 638-3777
Mailing address
1630 11TH ST, REEDLEY, CA 93654-2902
(559) 638-2246
(559) 638-3777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12890T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11782
MEDICAL EYE SERVICES
CA
05
—
SD0128900
—
CA
Enumeration date
05/04/2006
Last updated
09/04/2012
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