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CENTRAL VALLEY EYE MEDICAL GROUP INC. NPI 1609975366


NPI Information

NPI: 1609975366
Provider Name: CENTRAL VALLEY EYE MEDICAL GROUP INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
36 WEST YOKUTS AVE
SUITE 1
STOCKTON, CA
ZIP 95207
Phone: (209) 952-3700
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CENTRAL VALLEY EYE MEDICAL GROUP INC. is an ophthalmology in Stockton, 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. CENTRAL VALLEY EYE MEDICAL GROUP INC. NPI is 1609975366. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

36 WEST YOKUTS AVE
SUITE 1
STOCKTON, CA
ZIP 95207-713
Phone: (209) 952-3700
Fax: (209) 478-3302

The provider's authorized official is Stevens Y. Kim .
The authorized official title is Cfo and has the following contact phone number (209) 952-3700.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 2/2/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristCALIFORNIANo
2207W00000XOphthalmologyCALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11208550001MEDICARE NSC
2ZZZ05923ZMEDICARE PINCALIFORNIA
3GR0076150MEDICAIDCALIFORNIA

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: 5/5/2024

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