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SISKIYOU EYE CENTER MEDICAL GROUP INC NPI 1144224577


NPI Information

NPI: 1144224577
Provider Name: SISKIYOU EYE CENTER, MEDICAL GROUP, INC

Doing Business As: SISKIYOU EYE CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2524 WESTSIDE RD
YREKA, CA
ZIP 96097
Phone: (530) 842-2760
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SISKIYOU EYE CENTER, MEDICAL GROUP, INC is an ophthalmology in Yreka, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SISKIYOU EYE CENTER, MEDICAL GROUP, INC NPI is 1144224577. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Siskiyou Eye Center.

The provider's business location address is:

2524 WESTSIDE RD
YREKA, CA
ZIP 96097-129
Phone: (530) 842-2760
Fax: (530) 842-5839

The provider's authorized official is Belmira Pardal Borg .
The authorized official title is Administrator and has the following contact phone number (530) 842-2760.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 3/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyFNP26049CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R114448MEDICARE PINOREGON
2ZZZ07422ZMEDICARE PINCALIFORNIA
3ZZZ550452OTHERCALIFORNIABXBS OF CA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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