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NPI Code Detail

MEDICARE: DR. ALAN UYEMURA O.D.

MEDICARE: DR. ALAN UYEMURA O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist7662CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265577761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN UYEMURA O.D.
Provider Business Mailing Address
First Line : 6760 N WEST AVE STE 103
Second Line :
City : FRESNO
State : CA
Zip : 93711-1396
Country : US
Telephone Number : 559-226-6701
Fax Number : 559-226-6703
Provider Business Practice Location Address
First Line : 6760 N WEST AVE STE 103
Second Line :
City : FRESNO
State : CA
Zip : 93711-1396
Country : US
Telephone Number : 559-226-6701
Fax Number : 559-226-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 03/22/2012

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