| Peach Tree Vision Chico | |
|
114 Mission Ranch Blvd Ste 50 Chico CA 95926-5137 | |
| (530) 749-3242 | |
| (530) 749-3248 |
| Full Name | Peach Tree Vision Chico |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 Mission Ranch Blvd Ste 50, Chico, California |
| Authorized Official Name and Position | Greg Stone (CEO) |
| Authorized Official Contact | 5307493242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Tree Vision Chico 1114 Yuba St Ste 220 Marysville CA 95901-4838 Ph: (530) 749-3242 | Peach Tree Vision Chico 114 Mission Ranch Blvd Ste 50 Chico CA 95926-5137 Ph: (530) 749-3242 |
| NPI Number | 1922598226 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 7416978440 |
|---|---|
| Medicare Enrollment ID | O20211206002479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922598226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 55000248 (California) | Primary |
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