Elite Eyecare Medical Group A Medical Corporation in Santa Maria - Eyewear Supplier
Elite Eyecare Medical Group A Medical Corporation - NPI 1952456824
Elite Eyecare Medical Group A Medical Corporation is a Eyewear Supplier in Santa Maria, California. Elite Eyecare Medical Group A Medical Corporation practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Elite Eyecare Medical Group A Medical Corporation is 1952456824. The last update date is 2018-10-01.
Elite Eyecare Medical Group A Medical Corporation's current location address is 910 E Stowell Rd, Santa Maria, California. You can contact this provider via phone number 8059252637 and fax number 8053470033. The mailing address for Elite Eyecare Medical Group A Medical Corporation is 910 E Stowell Rd, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elite Eyecare Medical Group A Medical Corporation |
|---|---|
| Address | 910 E Stowell Rd, Santa Maria, California |
| Phone Number | 8059252637 |
| Fax Number | 8053470033 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kendall Kenneth |
| Credentials | OD |
| Telephone Number | 8057362020 |
NPI Number Detail
| NPI Number | 1952456824 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2018-10-01 |
Provider Mailing Address Detail
| Address | 910 E Stowell Rd |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934547001 |
| Phone Number | 8059252637 |
| Fax Number | 8053470033 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique identifier code issued to Elite Eyecare Medical Group A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Elite Eyecare Medical Group A Medical Corporation has been assigned the NPI (National Provider Identifier) 1952456824. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Elite Eyecare Medical Group A Medical Corporation is physically located?
The Elite Eyecare Medical Group A Medical Corporation is physically situated at the following address: 910 E Stowell Rd, Santa Maria, CA, 934547001.
What is Elite Eyecare Medical Group A Medical Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elite Eyecare Medical Group A Medical Corporation's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did Elite Eyecare Medical Group A Medical Corporation receive its 1952456824 assignment from the Centers for Medicare & Medicaid Services?
The Elite Eyecare Medical Group A Medical Corporation was assigned its 1952456824 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Elite Eyecare Medical Group A Medical Corporation most recently updated or revised?
The details related to Elite Eyecare Medical Group A Medical Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-01.