Manteca Optometric Eye Care Center

LBN: Fred Wm Stellhorn Optometric Corporation
Manteca Optometric Eye Care Center is an health care organization with primary practice located at 140 N Fremont St Ste A , Manteca CA 95336-4729. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Fred Wm Stellhorn Optometric Corporation can be contacted via phone (209) 823-3151, or through Stellhorn, Frederick William via phone (209) 823-3151.

Contact Information

Primary practice address
140 N Fremont St Ste A Manteca CA 95336-4729
Fax: (209) 823-9712
Website:
Authorized official contact:
Name: Stellhorn, Frederick William Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5215 TPL California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 5215 TPL California
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 5215 TPL California
Eye and Vision Services Providers / Pediatrics 152WP0200X 5215 TPL California
Eye and Vision Services Providers / Sports Vision 152WS0006X 5215 TPL California
Eye and Vision Services Providers / Vision Therapy 152WV0400X 5215 TPL California
Eye and Vision Services Providers / Occupational Vision 152WX0102X 5215 TPL California

Profile Details

NPI number 1124290721
LBN Legal business name Fred Wm Stellhorn Optometric Corporation
DBA Doing business as Manteca Optometric Eye Care Center
Authorized official Stellhorn, Frederick William Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Aug 25th, 2016 - 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 1124290721 NPPES
California MEDICAID SD0052150

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