Dr. John E. Fagan, Optometrist, Inc.
NPI #1619129921 in Tehachapi, California
Provider Information
- NPI Number
- 1619129921
- Entity Type
- Organization
- Organization Name
- Dr. John E. Fagan, Optometrist, Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 17, 2008
- Last Updated
- Mar 25, 2009
Practice Location
- Address
- 20231 W VALLEY BLVD
- Address 2
- SUITE G
- City
- Tehachapi
- State
- California
- ZIP Code
- 93561-6865
- Phone
- (661) 822-1212
Authorized Official
- Name
- DR. JOHN EDWARD FAGAN JR., O.D.
- Title
- PRESIDENT
- Phone
- (661) 822-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Corporate Health — Corporate Health |
| Optometrist |
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