Eye Site Sacramento Medical Group, Inc.

LBN: Eye Site Sacramento Medical Group, Inc.
Eye Site Sacramento Medical Group, Inc. is an health care organization with primary practice located at 4925 J St , Sacramento CA 95819-3828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Eye Site Sacramento Medical Group, Inc. can be contacted via phone (916) 452-8105, or through Van Duyn, Susan M via phone (916) 452-8105.

Contact Information

Primary practice address
4925 J St Sacramento CA 95819-3828
Phone: (916) 452-8105
Fax: (916) 452-4659
Website:
Map and Directions
Authorized official contact:
Name: Van Duyn, Susan M
Phone: (916) 452-8105

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X

Profile Details

NPI number 1134140346
LBN Legal business name Eye Site Sacramento Medical Group, Inc.
DBA Doing business as
Authorized official Van Duyn, Susan M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Mar 4th, 2008 - about 17 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 1134140346 NPPES
California MEDICAID GR0095580

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