H Jack Fennel is a Optometrist in Red Bluff, California. H Jack Fennel practices all healthcare services and medical treatments related to Optometrist. The NPI Number for H Jack Fennel is 1962423582. The last update date is 2010-03-23.
H Jack Fennel's current location address is 1031 Washington St, Red Bluff, California. You can contact this provider via phone number 5305272211 and fax number 5305277412. The mailing address for H Jack Fennel is 1031 Washington St, Red Bluff, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | H Jack Fennel |
|---|---|
| Address | 1031 Washington St, Red Bluff, California |
| Phone Number | 5305272211 |
| Fax Number | 5305277412 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1962423582 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2010-03-23 |
Provider Mailing Address Detail
| Address | 1031 Washington St |
|---|---|
| City | Red Bluff |
| State | California (CA) |
| Post Code | 96080 |
| Phone Number | 5305272211 |
| Fax Number | 5305277412 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5114T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0051140 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to H Jack Fennel by the Centers for Medicare & Medicaid Services?
The H Jack Fennel has been issued the NPI (National Provider Identifier) 1962423582 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where H Jack Fennel is physically located?
The H Jack Fennel is situated at the following address: 1031 Washington St, Red Bluff, CA 96080.
What is the H Jack Fennel's area of specialization and corresponding taxonomy classification?
The H Jack Fennel's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the H Jack Fennel receive the assignment of its 1962423582 from the Centers for Medicare & Medicaid Services?
The H Jack Fennel was issued its 1962423582 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the H Jack Fennel's details last updated?
The information pertaining to the H Jack Fennel, including its address, specialty, and other details, was most recently updated on 2010-03-23.