Healthcare Provider Details
I. General information
NPI: 1497834931
Provider Name (Legal Business Name): VISION CARE CENTER, A MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2006
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7075 N SHARON AVE
FRESNO CA
93720-3329
US
IV. Provider business mailing address
7075 N SHARON AVE
FRESNO CA
93720-3329
US
V. Phone/Fax
- Phone: 559-486-2000
- Fax: 559-256-8575
- Phone: 559-486-2000
- Fax: 559-256-8575
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | 040000312 |
| License Number State | CA |
VIII. Authorized Official
Name:
FRANK
MICHAEL
BISHOP
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 559-486-2000