Stanislaus Optometric Center, Inc. in Modesto - Optometrist
Stanislaus Optometric Center, Inc. - NPI 1114131141
Stanislaus Optometric Center, Inc. is a Optometrist in Modesto, California. Stanislaus Optometric Center, Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stanislaus Optometric Center, Inc. is 1114131141. The last update date is 2020-08-22.
Stanislaus Optometric Center, Inc.'s current location address is 4028 Dale Rd Ste 102, Modesto, California. You can contact this provider via phone number 2095272020 and fax number 2095275079. The mailing address for Stanislaus Optometric Center, Inc. is 4028 Dale Rd Ste 102, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stanislaus Optometric Center, Inc. |
|---|---|
| Address | 4028 Dale Rd Ste 102, Modesto, California |
| Phone Number | 2095272020 |
| Fax Number | 2095275079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nuccio F. Edward |
| Credentials | O.D, |
| Telephone Number | 2095272020 |
NPI Number Detail
| NPI Number | 1114131141 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4028 Dale Rd Ste 102 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953569505 |
| Phone Number | 2095272020 |
| Fax Number | 2095275079 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT8000T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the Stanislaus Optometric Center, Inc.'s 1114131141?
The Stanislaus Optometric Center, Inc.'s NPI (National Provider Identifier) Number is 1114131141. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stanislaus Optometric Center, Inc. is physically located?
The Stanislaus Optometric Center, Inc. is physically situated at the following address: 4028 Dale Rd Ste 102, Modesto, CA, 953569505.
What is Stanislaus Optometric Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stanislaus Optometric Center, Inc. is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114131141 to Stanislaus Optometric Center, Inc.?
The Stanislaus Optometric Center, Inc. received its 1114131141 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information related to Stanislaus Optometric Center, Inc. most recently updated or refreshed?
The details pertaining to the Stanislaus Optometric Center, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.