| Stanislaus Vision Associates Optometric Group Inc | |
|
1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 | |
| (209) 524-4626 | |
| (209) 524-1046 |
| Full Name | Stanislaus Vision Associates Optometric Group Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1700 Mchenry Avenue, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457425852 | NPI | - | NPPES |
| ST1529366 | Other | CLARITY VISION | |
| 02421 | Other | MEDICAL EYE SERVICES | |
| GSD000120 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OR15 (California) | Primary |
| Provider Name | Spencer H Whatcott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255405650 PECOS PAC ID: 1557439882 Enrollment ID: I20081117000510 |
| Provider Name | Eric E Miedema |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336213735 PECOS PAC ID: 4183791411 Enrollment ID: I20081117000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanislaus Vision Associates Optometric Group Inc 1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 Ph: (209) 524-4626 | Stanislaus Vision Associates Optometric Group Inc 1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 Ph: (209) 524-4626 |
Dr. Ronald F Janda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Ste. A, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy, Modesto, CA 95350 Phone: 209-702-6240 | |
Dr. Keith David Kajioka, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 809 Sylvan Ave, Suite 103, Modesto, CA 95350 Phone: 209-524-0100 Fax: 209-524-0596 | |
Dr. Patrick A Lonowski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4120 Hallmark Way, Modesto, CA 95356 Phone: 209-390-4842 | |
Stanley Michael Martin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
Dr. Mark Henry Harder, OD Optometrist Medicare: Medicare Enrolled Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 | |
Mark Harder Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 |