Sierra Eye Medical Group Inc. | |
2830 W Main St, Visalia, CA 93291-4331 | |
(559) 636-1000 | |
(559) 733-7438 |
Full Name | Sierra Eye Medical Group Inc. |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2830 W Main St, Visalia, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649214388 | NPI | - | NPPES |
GR0048030 | Medicaid | CA | |
A133113 | Other | CA | CALIFORNIA PHYSICIAN AND SURGEON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Steven Michael Cantrell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1861431413 PECOS PAC ID: 1557338811 Enrollment ID: I20040915000697 |
Provider Name | Michelle Cantrell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407060320 PECOS PAC ID: 6305946757 Enrollment ID: I20070713000516 |
Provider Name | Matthew Grant Kirkman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457545774 PECOS PAC ID: 4981763919 Enrollment ID: I20081106000130 |
Provider Name | William Gerlach |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285674291 PECOS PAC ID: 8325148778 Enrollment ID: I20090831000116 |
Provider Name | David Thomas Stark |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528491990 PECOS PAC ID: 8325460561 Enrollment ID: I20200617001167 |
Mailing Address | Practice Location Address |
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Sierra Eye Medical Group Inc. 2830 W Main St, Visalia, CA 93291-4331 Ph: (559) 636-1000 | Sierra Eye Medical Group Inc. 2830 W Main St, Visalia, CA 93291-4331 Ph: (559) 636-1000 |