Provider Demographics
NPI:1861851610
Name:FABRIZIO OPTOMETRY CORP
Entity Type:Organization
Organization Name:FABRIZIO OPTOMETRY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FABRIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:562-945-7300
Mailing Address - Street 1:8135 PAINTER AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3159
Mailing Address - Country:US
Mailing Address - Phone:562-945-7300
Mailing Address - Fax:888-475-4040
Practice Address - Street 1:8135 PAINTER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3158
Practice Address - Country:US
Practice Address - Phone:562-945-7300
Practice Address - Fax:888-475-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty