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MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC. NPI 1609809144


NPI Information

NPI: 1609809144
Provider Name: MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1830 SIERRA GARDENS DR
SUITE 100
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-2111
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MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC. is an ophthalmology in Roseville, 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. MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC. NPI is 1609809144. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1830 SIERRA GARDENS DR
SUITE 100
ROSEVILLE, CA
ZIP 95661-942
Phone: (916) 782-2111
Fax: (916) 786-6966

The provider's authorized official is Maura Stonham-steffens .
The authorized official title is Billing/credentialing Supervisor and has the following contact phone number (916) 731-5955.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 1/17/2022.


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
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryNo
2207W00000XOphthalmologyYes

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
1GR0042242MEDICAIDCALIFORNIA

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: 11/14/2023

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