Stanislaus Optometric Center, Inc.
Optometrist

Address: 4028 Dale Rd Ste 102, Modesto, CA 95356-9505
Phone: 2095272020

Stanislaus Optometric Center, Inc. (NPI# 1114131141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114131141
Entity Type Organization
Organization Name STANISLAUS OPTOMETRIC CENTER, INC.
Practice Address 4028 Dale Rd Ste 102
Modesto
CA 95356-9505
Practice Telephone 2095272020
Practice Fax Number 2095275079
Mailing Address 4028 Dale Rd Ste 102
Modesto
CA 95356-9505
Mailing Telephone 2095272020
Mailing Fax Number 2095275079
Authorized Official Name Dr. Edward F. Nuccio (OWNER)
Authorized Official Telephone 2095272020
Authorized Official Credential O.D,
Enumeration Date 2007-05-09
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 152W00000X Optometrist Eye and Vision Services Providers OPT8000T CA

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578913869 Lidia Tekie Optometrist 1208 Floyd Ave Bldg C, Modesto, CA 95350-2470 2016-06-16
1215186598 Lina Lee Optometrist 3200 Sisk Rd, Modesto, CA 95356-0546 2008-09-11
1366600082 Peter S. Klem Fred P. Guarcello Ptr Optometrist 4028 Dale Road, Suite 102, Modesto, CA 95356-9561 2008-05-29
1104001965 Erika Bray Ortega Optometrist 2401 E Orangeburg Ave Ste 280, Modesto, CA 95355-3396 2007-12-29
1255450524 Richard Alan Portillo Optometrist 1624 I St, Modesto, CA 95354-1122 2007-03-28
1619028842 Lincoln Andrus Service Jr. Optometrist 3500 Sisk Rd, Best Plaza Ste E, Modesto, CA 95356-0550 2007-01-15
1336201615 Keith Yun Kong Wong Optometrist 3401 Dale Rd, Suite 300, Modesto, CA 95356-0505 2006-12-14
1760558498 L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr Optometrist 3601 Coffee Rd, Modesto, CA 95355 2006-11-27
1336213735 Eric E Miedema Optometrist 1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 2006-11-17
1841362381 Gary Mark Cushing Optometrist 2911 E Hatch Rd, Modesto, CA 95351-4921 2006-11-13
Find all providers in MODESTO

Office Location

Street Address 4028 DALE RD STE 102
City MODESTO
State CA
Zip Code 95356-9505

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NPI Name Taxonomy Address Enumeration
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1659541647 Ashley Allison Streeter Dentist 556 Lyell Dr, Modesto, CA 95356 2008-03-05
1265636013 Margaret Kathleen Grisell Orthopaedic Surgery 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 2007-06-14
1841412111 Bobby Gene Boswell Specialist/Technologist 3908 Vintage Cove, Modesto, CA 95356 2007-05-03
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1396871091 Michael Steven Beck Social Worker 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 2007-02-26
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Find all providers in zip 95356

Competitor

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City MODESTO
Zip Code 95356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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