Byron M Fennema O.D. Inc

LBN: Byron M Fennema O.D. Inc
Byron M Fennema O.D. Inc is an health care organization with primary practice located at 1234 W Chapman Ave Suite 201, Orange CA 92868-2862. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Byron M Fennema O.D. Inc can be contacted via phone (714) 997-1091, or through Fennema, Byron Munehiro via phone (714) 997-1091.

Contact Information

Primary practice address
1234 W Chapman Ave Suite 201 Orange CA 92868-2862
Phone: (714) 997-1091
Fax: (714) 547-8279
Website:
Map and Directions
Authorized official contact:
Name: Fennema, Byron Munehiro Doctor of Optometry (OD)
Phone: (714) 997-1091

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT5522TPA California

Profile Details

NPI number 1942256037
LBN Legal business name Byron M Fennema O.D. Inc
DBA Doing business as
Authorized official Fennema, Byron Munehiro Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942256037 NPPES
California MEDICAID SD0055220

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