MEDICARE: DR SAUL MENDELSOHN OPTOMETRIST A PROFESSIONAL CORP

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
1	152W00000X	Optometrist	4968T	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1841464658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR SAUL MENDELSOHN OPTOMETRIST A PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	5478 N PALM AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-1940
Country	:	US
Telephone Number	:	559-447-4990
Fax Number	:	559-447-4994

Provider Business Practice Location Address
First Line	:	5478 N PALM AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-1940
Country	:	US
Telephone Number	:	559-447-4990
Fax Number	:	559-447-4994

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	MR. FREDDIE D MARTINEZ
Credential	:
Telephone Number	:	808-285-0084

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	09/15/2015

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