Heritage Eye Associates in Stockton - Durable Medical Equipment & Medical Supplies
Heritage Eye Associates - NPI 1972636397
Heritage Eye Associates is a Durable Medical Equipment & Medical Supplies in Stockton, California. Heritage Eye Associates practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Heritage Eye Associates is 1972636397. The last update date is 2020-06-17.
Heritage Eye Associates's current location address is 445 W Poplar St, Stockton, California. You can contact this provider via phone number 2094655933 and fax number 2094652568. The mailing address for Heritage Eye Associates is 445 W Poplar St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Eye Associates |
|---|---|
| Address | 445 W Poplar St, Stockton, California |
| Phone Number | 2094655933 |
| Fax Number | 2094652568 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Miselis V Kenneth |
| Credentials | M.D. |
| Telephone Number | 2094655562 |
NPI Number Detail
| NPI Number | 1972636397 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-06-17 |
Provider Mailing Address Detail
| Address | 445 W Poplar St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952032426 |
| Phone Number | 2094655933 |
| Fax Number | 2094652568 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | G502810 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76183001 | CA | MEDICARE DMERC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Heritage Eye Associates by the Centers for Medicare & Medicaid Services?
The Heritage Eye Associates has been issued the NPI (National Provider Identifier) 1972636397 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Heritage Eye Associates located?
The Heritage Eye Associates is located at 445 W Poplar St, Stockton, CA 952032426.
What is Heritage Eye Associates's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Heritage Eye Associates is Durable Medical Equipment & Medical Supplies, and the taxonomy code that categorizes this field of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972636397 to Heritage Eye Associates?
The Centers for Medicare & Medicaid Services originally issued the 1972636397 to Heritage Eye Associates on 2007-03-14.
When was the information regarding Heritage Eye Associates most recently updated?
The details pertaining to the Heritage Eye Associates, including its address, specialty, and other relevant information, were last refreshed on 2020-06-17.