Fred P. Guarcello & Peter S. Klem Ptr

LBN: Fred P. Guarcello & Peter S. Klem Ptr
Fred P. Guarcello & Peter S. Klem Ptr is an health care organization with primary practice located at 1263 Pleasant Grove Blvd Suite 100, Roseville CA 95747-5884. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fred P. Guarcello & Peter S. Klem Ptr can be contacted via phone (916) 773-1195, or through Guarcello, Fred Paul via phone (916) 773-1195.

Contact Information

Primary practice address
1263 Pleasant Grove Blvd Suite 100 Roseville CA 95747-5884
Phone: (916) 773-1195
Fax: (916) 773-1187
Website:
Map and Directions
Authorized official contact:
Name: Guarcello, Fred Paul Doctor of Optometry (OD)
Phone: (916) 773-1195

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6453T California

Profile Details

NPI number 1902093610
LBN Legal business name Fred P. Guarcello & Peter S. Klem Ptr
DBA Doing business as
Authorized official Guarcello, Fred Paul Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Feb 1st, 2013 - about 13 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 1902093610 NPPES
California MEDICAID SD0064530

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