Healthcare Provider Details

I. General information

NPI: 1861851610
Provider Name (Legal Business Name): FABRIZIO OPTOMETRY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 04/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 PAINTER AVE SUITE 100
WHITTIER CA
90602-3158
US

IV. Provider business mailing address

8135 PAINTER AVE SUITE 100
WHITTIER CA
90602-3159
US

V. Phone/Fax

Practice location:
  • Phone: 562-945-7300
  • Fax: 888-475-4040
Mailing address:
  • Phone: 562-945-7300
  • Fax: 888-475-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. SUZANNE MARIE FABRIZIO
Title or Position: PRESIDENT
Credential: O.D.
Phone: 562-945-7300