MEDICARE: EYE SITE SACRAMENTO MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS0132X	Ophthalmologic Surgery Clinic/Center

General Provider Information

NPI Number	:	1134140346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE SITE SACRAMENTO MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	4925 J ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3828
Country	:	US
Telephone Number	:	916-452-8105
Fax Number	:	916-452-4659

Provider Business Practice Location Address
First Line	:	4925 J ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3828
Country	:	US
Telephone Number	:	916-452-8105
Fax Number	:	916-452-4659

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	SUSAN M VAN DUYN
Credential	:
Telephone Number	:	916-452-8105

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	03/04/2008

Similar Medicare Providers

1740279710 — DR. CHRISTIAN L. SERDAHL M.D.
Practice Location Address:

4925 J ST
SACRAMENTO, CA
95819-3828

Practice Phone: 916-812-4524
Practice Fax:

1013063502 — RICHARD F ZIPF MD MEDICAL CORP
Practice Location Address:

4925 J STREET
SACRAMENTO, CA
95819-3828

Practice Phone: 916-487-9198
Practice Fax: 916-481-1615

1699896381 — DR. RICHARD FERDINAND ZIPF MD
Practice Location Address:

4925 J STREET
SACRAMENTO, CA
95819-3828

Practice Phone: 916-487-9198
Practice Fax: 916-481-1615

1578866893 — EYE SITE SACRAMENTO MEDICAL GROUP, INC
Practice Location Address:

4925 J ST
SACRAMENTO, CA
95819-3828

Practice Phone: 916-452-8105
Practice Fax: 916-452-4659

1699701748 — BRANIK MEDICAL SUPPLY
Practice Location Address:

3453 RAMONA AVE , SUITE 11
SACRAMENTO, CA
95826-3828

Practice Phone: 916-737-0300
Practice Fax: 916-737-1923

1255437661 — MRS. JILL ANN ROBINSON MA CCCSLP
Practice Location Address:

4450 N SACRAMENTO AVE
CHICAGO, IL
60625-3828

Practice Phone: 773-220-0580
Practice Fax: 866-807-7334

Directions to “EYE SITE SACRAMENTO MEDICAL GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.