Doctor Name: | MR. ERIC MARTIN BARTELL |
NPI Number: | 1023220548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | D6741 |
Business Practice Address: | 1140 E Clark Ave Ste 160 Santa Maria, CA - 934555188 |
Business Phone Number: | 8059344801 |
Business Fax Number: | 8059344804 |
Mailing Address: | 1140 E Clark Ave Ste 160, SANTA MARIA |
State: | CA |
Postal Code: | 934555188 |
Phone Number: | 8059344801 |
Fax Number: | 8059344804 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | D6741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |