L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr
Optometrist

Address: 3601 Coffee Rd, Modesto, CA 95355
Phone: 2095211028

L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr (NPI# 1760558498) 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) 1760558498
Entity Type Organization
Organization Name L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR
Practice Address 3601 Coffee Rd
Modesto
CA 95355
Practice Telephone 2095211028
Practice Fax Number 2095217488
Mailing Address 3601 Coffee Rd
Modesto
CA 95355
Mailing Telephone 2095211028
Mailing Fax Number 2095217488
Authorized Official Name Mr. L Edward Elliott (DOCTOR OF OPTOMETRY)
Authorized Official Telephone 2095211028
Authorized Official Credential OD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2006-11-27
Last Update Date 2013-02-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 152W00000X Optometrist Eye and Vision Services Providers FNP88 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
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
1336213735 Eric E Miedema Optometrist 1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 2006-11-17
Find all providers in MODESTO

Office Location

Street Address 3601 COFFEE RD
City MODESTO
State CA
Zip Code 95355

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598107195 Cecilia Sze Ka Tong Optometrist 3601 Coffee Rd, Modesto, CA 95355-1161 2013-07-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
1366839755 Hillock Family Dental Inc. Dentist 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 2015-04-23
1306230248 Daniel James Davenport Physical Therapist 1917 Coffee Rd., Modesto, CA 95355 2015-03-27
1154729853 Jennifer Camacho Physical Therapist 2200 Coffee Rd., Greenbriar Apartment No. 10, Modesto, CA 95355 2014-12-11
1740696459 Allen Oliver Physical Therapy Assistant 1335 Coffee Rd #200, Modesto, CA 95355 2014-07-02
Find all providers in zip 95355

Competitor

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City MODESTO
Zip Code 95355

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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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