Eric James Poulsen
Ophthalmologist
1360 E Herndon Ave Ste 201
Fresno
, California 93720-3326
Eric James Poulsen
Ophthalmologist
1360 E Herndon Ave Ste 201
Fresno
, California 93720-3326
(559) 432-2632
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Eric James Poulsen
- 1360 E Herndon Ave Ste 201
- Fresno, CA
- Zip : 93720-3326
- Fax : (559) 432-2632
- Phone : (559) 449-5050
Second Address
- Eric James Poulsen
- 1360 E Herndon Ave Ste 201
- Fresno, CA
- Zip : 93720-3326
- Fax : (559) 432-2632
- Phone : (559) 449-5050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | A71284 | CA |
National Provider Identifier
| NPI | 1003819301 |
|---|---|
| Provider Name | Eric James Poulsen |
| First Address | Fresno, CA 93720-3326 |
| Second Address | Fresno, CA 93720-3326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 08/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A712840 | (05) | CA |
| H16451 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.