Provider Demographics
NPI:1053312652
Name:D DANZ & SONS, INC.
Entity Type:Organization
Organization Name:D DANZ & SONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/BOARD CERTIFIED OCULARIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALCORTA
Authorized Official - Suffix:
Authorized Official - Credentials:BCO
Authorized Official - Phone:559-252-1770
Mailing Address - Street 1:6741 N WILLOW AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5955
Mailing Address - Country:US
Mailing Address - Phone:559-252-1770
Mailing Address - Fax:559-252-1781
Practice Address - Street 1:6741 N WILLOW AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5955
Practice Address - Country:US
Practice Address - Phone:559-252-1770
Practice Address - Fax:559-252-1781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89-218-14156FX1700X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Single Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADDX000040Medicaid
CA0678060001Medicare NSC