MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY GROUP, INC. (NPI# 1295768737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295768737 |
| Entity Type | Organization |
| Organization Name | MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY GROUP, INC. |
| Practice Address |
1561 Creekside Dr Suite 160 Folsom CA 95630-3492 |
| Mailing Address |
1700 Alhambra Blvd Suite 202 Sacramento CA 95816-7050 |
| Practice Telephone | 9169834550 |
| Practice Fax Number | 9169838569 |
| Mailing Telephone | 9167318040 |
| Mailing Fax Number | 9164544152 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-10-02 |
| Authorized Official Name | JOANN MUSHOLT (BILLING MGR) |
| Authorized Official Telephone | 9167315955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0042245 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831122308 | Medical Vision Technology Ophthalmology Group, Inc. | Ophthalmology | 3288 Bell Rd, Auburn, CA 95603-9243 | 2006-07-08 |
| Street Address |
1561 CREEKSIDE DR SUITE 160 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791487 | Shahriar Mabourakh | Plastic Surgery | 1561 Creekside Dr, Suite 110, Folsom, CA 95630-3492 | 2006-06-20 |
| 1063761237 | Denise Kathleen Hopkins | Physician Assistant | 1561 Creekside Dr, Folsom, CA 95630-3492 | 2012-09-04 |
| 1245558923 | Kelli Carver | Physician Assistant | 1561 Creekside Dr, #150, Folsom, CA 95630-3492 | 2010-05-05 |
| 1326374844 | Creekside Surgery Suite | Clinic/Center | 1561 Creekside Dr, Suite 110, Folsom, CA 95630-3492 | 2009-10-19 |
| 1932348638 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1561 Creekside Dr, Suite 170, Folsom, CA 95630-3492 | 2009-02-19 |
| 1538209663 | Greater Sacramento Pediatrics Association Inc | Clinic/Center | 1561 Creekside Dr, Suite 140, Folsom, CA 95630-3492 | 2007-02-07 |
| 1306867213 | Capitol Urology Medical Group Inc | Clinic/Center | 1561 Creekside Dr, Suite 170, Folsom, CA 95630 | 2006-07-23 |
| 1336176312 | Cecille G Taylor | Ophthalmology | 1561 Creekside Dr, #160, Folsom, CA 95630 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033566096 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 2330 E Bidwell St, Suite 200, Folsom, CA 95630-3875 | 2016-05-19 |
| 1194977074 | Cecille Taylor Md Inc. | Ophthalmology | 1615 Creekside Dr, Suite 110, Folsom, CA 95630-3491 | 2008-10-22 |
| 1144253675 | Shawn Palmer M.d. Inc | Ophthalmology | 2160 E Bidwell St, Folsom, CA 95630-6453 | 2006-07-08 |
| 1477631166 | Ronald D. Tamaru | Ophthalmology | 2155 Iron Point Rd, Folsom, CA 95630-8707 | 2006-11-01 |
| 1700801016 | Shawn L Palmer | Ophthalmology | 2160 E Bidwell St, Folsom, CA 95630-6453 | 2006-07-13 |
| 1336176312 | Cecille G Taylor | Ophthalmology | 1561 Creekside Dr, #160, Folsom, CA 95630 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.