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NPI Code Detail

MEDICARE: DR. JOHN W ARTEAGA OD

MEDICARE:  DR. JOHN W ARTEAGA  OD
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
1152W00000XOptometrist6159TPLCA

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 : 1346216926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN W ARTEAGA OD
Provider Business Mailing Address
First Line : 4041 N FRESNO ST
Second Line : STE 102
City : FRESNO
State : CA
Zip : 93726-4037
Country : US
Telephone Number : 559-227-7512
Fax Number : 559-227-7574
Provider Business Practice Location Address
First Line : 4041 N FRESNO ST
Second Line : STE 102
City : FRESNO
State : CA
Zip : 93726-4037
Country : US
Telephone Number : 559-227-7512
Fax Number : 559-227-7574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 01/19/2010

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Directions to “ DR. JOHN W ARTEAGA OD” Practice Location

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