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EYE MEDICAL CENTER OF FRESNO
NPI 1124458906
Optometrist in Fresno, CA

Active since November 15, 2013CLIA 05D2214637 · Waiver

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eye Medical Center Of Fresno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE MEDICAL CENTER OF FRESNO (NPI 1124458906) is a healthcare organization registered as an optometrist in Fresno, California and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Denise R Haar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124458906
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE MEDICAL CLINIC OF FRESNO, IN.C
Location Address1122 S STFresno, CA 93721-1498
Mailing Address1122 S StFresno, CA 93721-1498 · (559) 486-5000
Phone(559) 486-5000
Organization SubpartNo
Authorized OfficialDenise R HaarAdministrator · (559) 486-5000
Enumeration DateNovember 15, 2013
✔ NPI 1124458906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 11637T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1122 S ST, Fresno, CA 93721
Open in Google Maps ↗

Other Names 1

Doing Business AsEye Medical Center Of Fresno

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2214637

Eye Medical Center Of Fresno · Fresno, CA
Active · expires Feb 23, 2027
CLIA Number05D2214637
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorGeorge Bertolucci
Laboratory Phone(559) 486-5000
Laboratory LocationEye Medical Center Of Fresno1360 E Herndon Ave Ste 301, Fresno, CA 93720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANG MEDICAL CORP
Pediatrics
1122 S ST
FRESNO, CA 93721
Fresno County (559) 268-1737
DR. NEW SANG MD, MPH
Pediatrics
1122 S ST, SUITE 102
FRESNO, CA 93721
Fresno County (559) 268-1737
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Clinic/Center (Federally Qualified Health Center (FQHC))
1122 S ST
FRESNO, CA 93721
Fresno County (559) 646-6618
DR. ORATHAI SANGRUJIVETH MD
Pediatrics
1122 S ST, SUITE 102
FRESNO, CA 93721
Fresno County (559) 268-1737
MR. HONG GIA LUU OD
Optometrist
1122 S ST
FRESNO, CA 93721
Fresno County (800) 492-4227
CATHLEEN JOY CAGLE BROWN CNM
Advanced Practice Midwife
1122 S ST, SUITE 102
FRESNO, CA 93721
Fresno County (559) 495-3120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Medical Clinic Of Fresno, In.C's NPI number?

The NPI number for Eye Medical Clinic Of Fresno, In.C is 1124458906. It was assigned to this organization in the NPPES registry on November 15, 2013. The provider is doing business as Eye Medical Center Of Fresno.

Where is Eye Medical Clinic Of Fresno, In.C located?

Eye Medical Clinic Of Fresno, In.C is located at 1122 S St, Fresno, CA 93721. The listed phone number is (559) 486-5000.

What is Eye Medical Clinic Of Fresno, In.C's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Eye Medical Clinic Of Fresno, In.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2214637) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eye Medical Clinic Of Fresno, In.C was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.