Healthcare Provider Details

I. General information

NPI: 1194802868
Provider Name (Legal Business Name): VISION CARE CENTER, A MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
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

Practice location:
  • Phone: 559-486-2000
  • Fax: 559-256-8504
Mailing address:
  • Phone: 559-486-2000
  • Fax: 559-256-8504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateNULL

VIII. Authorized Official

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