Organization
DR R D LANDSKRONER & DR R CARLSON OPTOMETRISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND EUGENE CARLSON OD (OWNER/PRESIDENT)
(559) 268-5577
Entity
Organization
Contact information
Practice address
1030 FULTON MALL, FRESNO, CA 93721
(559) 268-5577
(559) 268-9989
Mailing address
1030 FULTON MALL, FRESNO, CA 93721
(559) 268-5577
(559) 268-9989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9893T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0098930
—
CA
Enumeration date
12/15/2006
Last updated
10/22/2008
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