Sylvan Eye Associates, A Medical Corporation | |
1011 Sylvan Ave, Suite A, Modesto, CA 95350-1692 | |
(209) 575-2020 | |
(209) 758-5693 |
Full Name | Sylvan Eye Associates, A Medical Corporation |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1011 Sylvan Ave, 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 |
---|---|---|---|
1740279207 | NPI | - | NPPES |
GR0088410 | Other | CA | OPTHALMOLOGY MEDICAL |
GSD088411 | Medicaid | CA | |
ZZZ00823Z | Other | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Jeffery Adkins |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255309696 PECOS PAC ID: 2860450814 Enrollment ID: I20041222000511 |
Provider Name | Ronald F Janda |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003843087 PECOS PAC ID: 7113929407 Enrollment ID: I20070215000769 |
Provider Name | Jeffrey J Ing |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871600114 PECOS PAC ID: 8426129370 Enrollment ID: I20080619000561 |
Provider Name | Kerry A Horner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467441931 PECOS PAC ID: 2264518570 Enrollment ID: I20081209000210 |
Provider Name | Stanley M Martin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093704264 PECOS PAC ID: 8527144831 Enrollment ID: I20090121000614 |
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 |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801164827 PECOS PAC ID: 6901114990 Enrollment ID: I20150924000793 |
Provider Name | Lina Lee |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215186598 PECOS PAC ID: 6800181298 Enrollment ID: I20160824001870 |
Provider Name | Marissa B Wall |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265915615 PECOS PAC ID: 0143569012 Enrollment ID: I20211027003477 |
Mailing Address | Practice Location Address |
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Sylvan Eye Associates, A Medical Corporation 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1692 Ph: (209) 575-2020 | Sylvan Eye Associates, A Medical Corporation 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1692 Ph: (209) 575-2020 |