Peter S. Klem Fred P. Guarcello Ptr
Optometrist

Address: 4028 Dale Road, Suite 102, Modesto, CA 95356-9561
Phone: 2095277784

Peter S. Klem Fred P. Guarcello Ptr (NPI# 1366600082) 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) 1366600082
Entity Type Organization
Organization Name PETER S. KLEM FRED P. GUARCELLO PTR
Practice Address 4028 Dale Road
Suite 102
Modesto
CA 95356-9561
Practice Telephone 2095277784
Practice Fax Number 2095275079
Mailing Address 4028 Dale Road
Suite 102
Modesto
CA 95356-9561
Mailing Telephone 2095277784
Mailing Fax Number 2095275079
Authorized Official Name Dr. Fred Paul Guarcello (PARTNER)
Authorized Official Telephone 2095277784
Authorized Official Credential O.D.
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2008-05-29
Last Update Date 2011-06-15

Taxonomy Codes

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

Other Provider Identifier

State Identifier Issuer Type Code
CA 1366600082 MEDICAID

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
1104001965 Erika Bray Ortega Optometrist 2401 E Orangeburg Ave Ste 280, Modesto, CA 95355-3396 2007-12-29
1114131141 Stanislaus Optometric Center, Inc. Optometrist 4028 Dale Rd Ste 102, Modesto, CA 95356-9505 2007-05-09
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
1194889220 Brendan Richard James Optometrist 1019 16th St, Modesto, CA 95354-1105 2006-12-21
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
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Office Location

Street Address 4028 DALE ROAD
SUITE 102
City MODESTO
State CA
Zip Code 95356-9561

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MODESTO
Zip Code 95356

Improve Information

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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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