DR. John Edward Fagan JR., O.D.

NPI #1255324042 in Tehachapi, California

Provider Information

NPI Number: 1255324042
Entity Type: Individual
Name: DR. John Edward Fagan JR., O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 26, 2005
Last Updated: Oct 31, 2014

Practice Location

Address: 20231 W VALLEY BLVD
Address 2: SUITE G
City: Tehachapi
State: California
ZIP Code: 93561-6748
Phone: (661) 822-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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