MEDICARE: VISALIA FAMILY EYE CARE OPTOMETRY

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1245044015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISALIA FAMILY EYE CARE OPTOMETRY

Provider Business Mailing Address
First Line	:	162 W D ST
Second Line	:
City	:	LEMOORE
State	:	CA
Zip	:	93245-2938
Country	:	US
Telephone Number	:	559-924-4417
Fax Number	:	559-924-3942

Provider Business Practice Location Address
First Line	:	5501 W HILLSDALE AVE STE D
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-5159
Country	:	US
Telephone Number	:	559-625-5464
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	JEFFREY GARCIA
Credential	:	OD
Telephone Number	:	559-625-5464

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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Directions to “VISALIA FAMILY EYE CARE OPTOMETRY ” Practice Location

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