Healthcare Provider Details

I. General information

NPI: 1720488802
Provider Name (Legal Business Name): VISION CARE CENTER, A MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 02/03/2025
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 ALLUVIAL AVE
CLOVIS CA
93611
US

IV. Provider business mailing address

7075 N SHARON AVE
FRESNO CA
93720-3329
US

V. Phone/Fax

Practice location:
  • Phone: 559-486-2000
  • Fax:
Mailing address:
  • Phone: 559-486-2000
  • Fax: 559-256-8575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANK MICHAEL BISHOP
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 559-486-2000