Central Valley Eye Medical Group Inc.

LBN: Central Valley Eye Medical Group Inc.
Central Valley Eye Medical Group Inc. is an health care organization with primary practice located at 200 Cottage Ave Ste 102, Manteca CA 95336-4935. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Central Valley Eye Medical Group Inc. can be contacted via phone (209) 239-5303, or through Kim, Stevens Y via phone (209) 952-3700.

Contact Information

Primary practice address
200 Cottage Ave Ste 102 Manteca CA 95336-4935
Phone: (209) 239-5303
Fax: (209) 239-0090
Website:
Map and Directions
Authorized official contact:
Name: Kim, Stevens Y Doctor of Medicine (MD)
Phone: (209) 952-3700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1477675387
LBN Legal business name Central Valley Eye Medical Group Inc.
DBA Doing business as
Authorized official Kim, Stevens Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Oct 8th, 2014 - about 11 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 1477675387 NPPES
California MEDICAID GR0076150

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