Organization
DEAN E FEWTRELL OD A PROFESSIONAL OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN E FEWTRELL OD (PRESIDENT OF CORPORATION)
(831) 424-6201
Entity
Organization
Contact information
Practice address
311 PAJARO ST, SALINAS, CA 93901-3421
(831) 424-6201
(831) 757-4509
Mailing address
311 PAJARO STREET, SALINAS, CA 93901-3421
(831) 424-6201
(831) 757-4509
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7793T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841325834
—
CA
Enumeration date
02/22/2007
Last updated
05/24/2018
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