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NPI Code Detail

MEDICARE: EYE AND VISION CENTRAL CALIFORNIA INC

MEDICARE: EYE AND VISION CENTRAL CALIFORNIA 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
1207W00000XOphthalmology PhysicianA80829CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC054BOTHERCAMEDICARE

General Provider Information

NPI Number : 1134365679
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE AND VISION CENTRAL CALIFORNIA INC
Provider Business Mailing Address
First Line : 2325 W CLEVELAND AVE
Second Line : STE 103
City : MADERA
State : CA
Zip : 93637-8753
Country : US
Telephone Number : 559-674-4700
Fax Number :
Provider Business Practice Location Address
First Line : 2325 W CLEVELAND AVE
Second Line : STE 103
City : MADERA
State : CA
Zip : 93637-8753
Country : US
Telephone Number : 559-674-4700
Fax Number : 559-674-3900
Authorized Official
Title or Position : PRESDENT
Name : NING LIN
Credential : M.D.
Telephone Number : 559-674-4700
Provider Enumeration Date : 01/06/2009
Last Update Date : 02/07/2013

Similar Medicare Providers

1821094012 — NING LIN MD
Practice Location Address:
2325 W CLEVELAND AVE , STE 103
MADERA, CA
93637-8753
Practice Phone: 559-674-4700
Practice Fax: 559-674-3900
1073701777 — DR. S.ALEX YOUNG MD
Practice Location Address:
2339 W CLEVELAND AVE # 103
MADERA, CA
93637-8753
Practice Phone: 559-673-8055
Practice Fax: 559-673-0389
1194973545 — DR. HARPAL KAUR BRAR MD
Practice Location Address:
2339 W CLEVELAND AVE , SIUTE 101
MADERA, CA
93637-8753
Practice Phone: 559-675-9400
Practice Fax: 559-675-9404
1972467892 — OLIVIA MORALES
Practice Location Address:
1915 HOWARD RD STE BC
MADERA, CA
93637-5163
Practice Phone: 559-330-2211
Practice Fax:
1043174865 — NATHANIEL ISAAC ACEVEDO NA
Practice Location Address:
1915 HOWARD RD STE BNC
MADERA, CA
93637-5163
Practice Phone: 559-330-2211
Practice Fax:
1861242331 — ESMERALDA GONZALEZ
Practice Location Address:
117 N R ST STE 101
MADERA, CA
93637-4465
Practice Phone: 559-363-8632
Practice Fax:

Directions to “EYE AND VISION CENTRAL CALIFORNIA INC ” Practice Location

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