Provider Demographics
NPI:1417212101
Name:MIRIAM B FUCHS OD INC
Entity Type:Organization
Organization Name:MIRIAM B FUCHS OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:FUCHS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:760-631-7914
Mailing Address - Street 1:1800 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-7700
Mailing Address - Country:US
Mailing Address - Phone:760-631-7914
Mailing Address - Fax:760-631-7915
Practice Address - Street 1:1800 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-7700
Practice Address - Country:US
Practice Address - Phone:760-631-7914
Practice Address - Fax:760-631-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty