Provider Demographics
NPI:1952495822
Name:SUNALP VISION CENTER
Entity Type:Organization
Organization Name:SUNALP VISION CENTER
Other - Org Name:SEQUOIA EYE CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MURAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUNALP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-688-2020
Mailing Address - Street 1:880 E MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2244
Mailing Address - Country:US
Mailing Address - Phone:559-688-2020
Mailing Address - Fax:559-688-8526
Practice Address - Street 1:880 E MERRITT AVE
Practice Address - Street 2:STE 109
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2244
Practice Address - Country:US
Practice Address - Phone:559-688-2020
Practice Address - Fax:559-688-8526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36954207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29091ZMedicare PIN