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NPI Code Detail

MEDICARE: MODERN SIGHT OPTOMETRIC CORPORATION

MEDICARE: MODERN SIGHT OPTOMETRIC CORPORATION
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1598614968
Entity Type Code : Organization
Provider Name (Legal Business Name) : MODERN SIGHT OPTOMETRIC CORPORATION
Provider Business Mailing Address
First Line : 2108 N ST STE N
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 CODDINGTOWN CTR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-3512
Country : US
Telephone Number : 707-528-3876
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SOPHIA MOH
Credential : OD
Telephone Number : 510-463-4669
Provider Enumeration Date : 01/27/2026
Last Update Date : 02/02/2026

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Directions to “MODERN SIGHT OPTOMETRIC CORPORATION ” Practice Location

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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.

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