MANTECA OPTOMETRY (NPI# 1548339112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339112 |
| Entity Type | Organization |
| Organization Name | MANTECA OPTOMETRY |
| Practice Address |
158 N Maple Ave Manteca CA 95336-4503 |
| Mailing Address |
1532 Bennington Ct Stockton CA 95209-4556 |
| Practice Telephone | 2092393504 |
| Practice Fax Number | 2092390741 |
| Mailing Telephone | 2094773888 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEANNE LEE (PARTNER) |
| Authorized Official Telephone | 2092393504 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
12388T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MY NPI NUMBER | 1982704979 | 01 |
| Street Address |
158 N MAPLE AVE |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313552 | Derron Timothy Lee | Optometrist | 158 N Maple Ave, Manteca, CA 95336-4503 | 2006-09-30 |
| 1588911820 | Hanh Judy Ngoc Nguyen | Optometrist | 158 N Maple Ave, Manteca, CA 95336 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508781 | Dale Choi Od Inc | Optometrist | 2456 W 229th Pl, Torrance, CA 90501-5238 | 2019-06-26 |
| 1801335542 | Kelly C. Kao, O.d., A Professional Corporation | Optometrist | 1580 W El Camino Real Ste 6, Mountain View, CA 94040-2462 | 2017-02-14 |
| 1639439730 | Paul T. Woo Optometric Corporation | Optometrist | 1234 S Garfield Ave Ste 105, Alhambra, CA 91801-5068 | 2012-05-22 |
| 1437425196 | Philip C Diorio | Optometrist | 1059 Granville Dr, Newport Beach, CA 92660-6205 | 2012-03-27 |
| 1902012362 | Lillian Ing-ling Wang | Optometrist | 503 Augusta Dr, Moraga, CA 94556-3002 | 2007-05-15 |
| 1467575993 | Marianne Pia Hoenig | Optometrist | Binocular Vision Clinic School of Optometry, University of California Berkeley, Berkeley, CA 94720-2020 | 2007-04-09 |
| 1194845248 | James Albert Stewart | Optometrist | 6053 N Palm Ave, Fresno, CA 93704-1623 | 2007-03-30 |
| 1083769905 | Philip Ong | Optometrist | 6531 Crown Blvd Ste 4, San Jose, CA 95120-2906 | 2007-01-23 |
| 1669542916 | Arlene D Espiritu | Optometrist | 2101 Stone Blvd Ste 150, West Sacramento, CA 95691-4054 | 2006-11-08 |
| 1982704979 | Leanne Lee | Optometrist | 2321 W March Ln, Ste A, Stockton, CA 95207-5261 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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| 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.