Provider Demographics
NPI:1669553871
Name:GEERING-FEND, DEBORAH LYNN (OD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:GEERING-FEND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3858 W CARSON ST STE 107
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6705
Mailing Address - Country:US
Mailing Address - Phone:310-792-6200
Mailing Address - Fax:310-792-6223
Practice Address - Street 1:3858 W CARSON ST STE 107
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6705
Practice Address - Country:US
Practice Address - Phone:310-792-6200
Practice Address - Fax:310-792-6223
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKOPT258152W00000X
CAOPT10490 TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT10490 TPLOtherOPTOMETRY LICENSE
CAU59046Medicare UPIN
CAOPT10490 TPLOtherOPTOMETRY LICENSE