Central Valley Eye Medical Group Inc. | |
36 West Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | |
(209) 952-3700 | |
(209) 478-3302 |
Full Name | Central Valley Eye Medical Group Inc. |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 36 West Yokuts Ave, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609975366 | NPI | - | NPPES |
GR0076150 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (California) | Secondary |
207W00000X | Ophthalmology | (California) | Primary |
Provider Name | Kimberly P Cockerham |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366493629 PECOS PAC ID: 3678460300 Enrollment ID: I20040227001051 |
Provider Name | Stephen A Lin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073612735 PECOS PAC ID: 9537127816 Enrollment ID: I20050103001014 |
Provider Name | Anita M Gor |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811014715 PECOS PAC ID: 8224078613 Enrollment ID: I20050504001277 |
Provider Name | David Robert Demartini |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437134855 PECOS PAC ID: 4981605664 Enrollment ID: I20070305000702 |
Provider Name | Stevens Y Kim |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437258183 PECOS PAC ID: 6103846357 Enrollment ID: I20071213000210 |
Provider Name | Abraham Magallanez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144255449 PECOS PAC ID: 3173682739 Enrollment ID: I20081111000697 |
Provider Name | Michael J Sakamoto |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508991993 PECOS PAC ID: 1052509049 Enrollment ID: I20101216000985 |
Provider Name | Victoria Hsu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295930527 PECOS PAC ID: 3375671704 Enrollment ID: I20130220000143 |
Provider Name | Enoch Hyun Joo Nam |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578799037 PECOS PAC ID: 6507020104 Enrollment ID: I20130731000401 |
Provider Name | Vikram S Girn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083021752 PECOS PAC ID: 2567684822 Enrollment ID: I20141121000236 |
Provider Name | Ethan H Tittler |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649562406 PECOS PAC ID: 6800102591 Enrollment ID: I20150825005719 |
Provider Name | Daniel Youngjun Choi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801164827 PECOS PAC ID: 6901114990 Enrollment ID: I20150924000793 |
Provider Name | Juana W Li |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770923039 PECOS PAC ID: 5890033153 Enrollment ID: I20190212000294 |
Provider Name | Lucy A Bailey |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437545795 PECOS PAC ID: 2163759200 Enrollment ID: I20190812002426 |
Provider Name | Kelsey Anne Price |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235607318 PECOS PAC ID: 0345571212 Enrollment ID: I20191007002369 |
Provider Name | Michael C Yang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699336974 PECOS PAC ID: 4880095058 Enrollment ID: I20230804001829 |
Mailing Address | Practice Location Address |
---|---|
Central Valley Eye Medical Group Inc. 36 West Yokuts Ave, Suite 1, Stockton, CA 95207-5713 Ph: (209) 952-3700 | Central Valley Eye Medical Group Inc. 36 West Yokuts Ave, Suite 1, Stockton, CA 95207-5713 Ph: (209) 952-3700 |