Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC MATTHEW FENNEMA, O.D.
Active Sole ProprietorDR. ERIC MATTHEW FENNEMA, O.D. is a Optometrist healthcare provider located in SUN CITY, California. NPI 1710048939 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SUN CITY, CA
Registration Details
- NPI Number
- 1710048939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.665039737553 yrs)
- Last Updated
- Sep 15, 2011
- License
-
OPT8225TPL (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29950 HAUN RDSUITE 206SUN CITY, CA, 925866526Browse CA providers · Browse ZIP 92586
- Phone
- 9516790545
- Fax
- 9516796154
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SUN CITY, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL K. KOBAYASHI | O.D. | 1750353496 |
| JOHN S. HERSH | O.D. | 1689647851 |
| PETER G SHAW- MC MINN | O.D. | 1467426866 |
| DR. KENNETH EARL CHRISTOPHER | O.D. | 1942243514 |
| DR. LYSLE SHAW-MCMINN | O.D. | 1720481641 |
| SANDY HANNA | OD | 1588385041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.