Healthcare Provider Details

I. General information

NPI: 1710480934
Provider Name (Legal Business Name): VALLEY CENTER FOR THE BLIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 W SHAW AVE
FRESNO CA
93711-3204
US

IV. Provider business mailing address

3417 W SHAW AVE
FRESNO CA
93711-3204
US

V. Phone/Fax

Practice location:
  • Phone: 559-222-4447
  • Fax:
Mailing address:
  • Phone: 559-222-4447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELLENA HEBER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 559-222-4447