Center For Sight Of Stockton A Medical Corporation

LBN: Center For Sight Of Stockton A Medical Corporation
Center For Sight Of Stockton A Medical Corporation is an health care organization with primary practice located at 612 W 11Th St Suite 103, Tracy CA 95376-3855. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Center For Sight Of Stockton A Medical Corporation can be contacted via phone (209) 836-4800, or through Edington, Philip E via phone (209) 948-5515.

Contact Information

Primary practice address
612 W 11Th St Suite 103 Tracy CA 95376-3855
Phone: (209) 836-4800
Fax: (209) 836-3917
Website:
Map and Directions
Authorized official contact:
Name: Edington, Philip E Doctor of Medicine (MD)
Phone: (209) 948-5515

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1114941796
LBN Legal business name Center For Sight Of Stockton A Medical Corporation
DBA Doing business as
Authorized official Edington, Philip E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Sep 1st, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114941796 NPPES
California Other ZZZ26803Z GROUP PTAN

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