Fred Wm Stellhorn Optometric Corporation in Manteca - Sports Vision
Fred Wm Stellhorn Optometric Corporation - NPI 1124290721
Fred Wm Stellhorn Optometric Corporation is a Sports Vision in Manteca, California. Fred Wm Stellhorn Optometric Corporation practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Fred Wm Stellhorn Optometric Corporation is 1124290721. The last update date is 2016-08-25.
Fred Wm Stellhorn Optometric Corporation's current location address is 140 N Fremont St Ste A, Manteca, California. You can contact this provider via phone number 2098233151 and fax number 2098239712. The mailing address for Fred Wm Stellhorn Optometric Corporation is 140 N Fremont St Ste A, Manteca, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fred Wm Stellhorn Optometric Corporation |
|---|---|
| Address | 140 N Fremont St Ste A, Manteca, California |
| Phone Number | 2098233151 |
| Fax Number | 2098239712 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Stellhorn William Frederick |
| Credentials | O.D. |
| Telephone Number | 2098233151 |
NPI Number Detail
| NPI Number | 1124290721 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2016-08-25 |
Provider Mailing Address Detail
| Address | 140 N Fremont St Ste A |
|---|---|
| City | Manteca |
| State | California (CA) |
| Post Code | 953364729 |
| Phone Number | 2098233151 |
| Fax Number | 2098239712 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 5215 TPL |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0052150 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Fred Wm Stellhorn Optometric Corporation by the Centers for Medicare & Medicaid Services?
The Fred Wm Stellhorn Optometric Corporation has been issued the NPI (National Provider Identifier) 1124290721. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Fred Wm Stellhorn Optometric Corporation?
The Fred Wm Stellhorn Optometric Corporation is situated at 140 N Fremont St Ste A, in the city of Manteca, state of CA, with the zip code 953364729.
What is Fred Wm Stellhorn Optometric Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fred Wm Stellhorn Optometric Corporation is Sports Vision, and the taxonomy classification code that categorizes this area of expertise is 152Ws0006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124290721 to Fred Wm Stellhorn Optometric Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1124290721 to Fred Wm Stellhorn Optometric Corporation on 2008-03-24.
When was the information related to Fred Wm Stellhorn Optometric Corporation most recently updated or refreshed?
The details pertaining to the Fred Wm Stellhorn Optometric Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-25.