Provider Demographics
NPI:1811989254
Name:NEFFIAN, HARTUNE JR (OD)
Entity type:Individual
Prefix:
First Name:HARTUNE
Middle Name:
Last Name:NEFFIAN
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 N PALM AVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2265
Mailing Address - Country:US
Mailing Address - Phone:559-226-4545
Mailing Address - Fax:559-226-4572
Practice Address - Street 1:5151 N PALM AVE
Practice Address - Street 2:SUITE 850
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2265
Practice Address - Country:US
Practice Address - Phone:559-226-4545
Practice Address - Fax:559-226-4572
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4451152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist