Center For Sight Of Stockton A Medical Corporation in Tracy - Specialist
Center For Sight Of Stockton A Medical Corporation - NPI 1114941796
Center For Sight Of Stockton A Medical Corporation is a Specialist in Tracy, California. Center For Sight Of Stockton A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Center For Sight Of Stockton A Medical Corporation is 1114941796. The last update date is 2017-09-01.
Center For Sight Of Stockton A Medical Corporation's current location address is 612 W 11th St, Tracy, California. You can contact this provider via phone number 2098364800 and fax number 2098363917. The mailing address for Center For Sight Of Stockton A Medical Corporation is 612 W 11th St, Tracy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Sight Of Stockton A Medical Corporation |
|---|---|
| Address | 612 W 11th St, Tracy, California |
| Phone Number | 2098364800 |
| Fax Number | 2098363917 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Edington E Philip |
| Credentials | MD |
| Telephone Number | 2099485515 |
NPI Number Detail
| NPI Number | 1114941796 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2017-09-01 |
Provider Mailing Address Detail
| Address | 612 W 11th St |
|---|---|
| City | Tracy |
| State | California (CA) |
| Post Code | 953763855 |
| Phone Number | 2098364800 |
| Fax Number | 2098363917 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ26803Z | CA | GROUP PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Center For Sight Of Stockton A Medical Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Center For Sight Of Stockton A Medical Corporation has been assigned the NPI (National Provider Identifier) 1114941796. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Center For Sight Of Stockton A Medical Corporation is geographically located?
The Center For Sight Of Stockton A Medical Corporation is physically situated at the following location: 612 W 11Th St, Tracy, CA, 953763855.
What is Center For Sight Of Stockton A Medical Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Center For Sight Of Stockton A Medical Corporation is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114941796 to Center For Sight Of Stockton A Medical Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1114941796 to Center For Sight Of Stockton A Medical Corporation on 2006-07-27.
As of what date was the information regarding Center For Sight Of Stockton A Medical Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Center For Sight Of Stockton A Medical Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-09-01.