CENTRAL VALLEY EYE MEDICAL GROUP (NPI# 1619099413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619099413 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY EYE MEDICAL GROUP |
| Practice Address |
36 W Yokuts Ave Stockton CA 95207-5713 |
| Practice Telephone | 2099523700 |
| Practice Fax Number | 2094783302 |
| Mailing Telephone | 2099523700 |
| Mailing Fax Number | 2094783302 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVENS Y KIM (TREASURER) |
| Authorized Official Telephone | 2099523700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0076150 | 05 |
| Street Address |
36 W YOKUTS AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366493629 | Kimberly P. Cockerham | Ophthalmology | 36 W Yokuts Ave, Stockton, CA 95207-5713 | 2006-05-12 |
| 1447510953 | Usiwoma Esenighe Ene Abugo | Ophthalmology | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2012-05-18 |
| 1801164827 | Daniel Youngjun Choi | Ophthalmology | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2011-12-05 |
| 1356664429 | Esfandiar Jason Sabet-peyman | Ophthalmology | 36 W Yokuts Ave, Stockton, CA 95207-5713 | 2010-03-03 |
| 1669540118 | Stevens Kim Md and Stephen Lin Md Medical Group Inc | Clinic/Center | 36 W Yokuts Ave, Suite 3, Stockton, CA 95207-5713 | 2006-12-01 |
| 1891871034 | Daniel C Sisemore | Ophthalmology | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2006-10-31 |
| 1144255449 | Abraham Magallanez | Optometrist | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2006-07-12 |
| 1073559514 | Fely T Escara | Specialist | 36 W Yokuts Ave, Stockton, CA 95207-5713 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750832150 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5242 Pacific Ave, Stockton, CA 95207-5612 | 2016-10-20 |
| 1962550509 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5110 Pacific Ave, Stockton, CA 95207-6305 | 2007-01-08 |
| 1184789166 | Pearle Visioncare Inc | Eyewear Supplier (Equipment, not the service) | 5308 Pacific Ave, Sherwood Mall, Stockton, CA 95207-5619 | 2006-12-27 |
| 1669493714 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4915 Claremont Avenue, Stockton, CA 95207 | 2006-07-22 |
| 1265822951 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1616 E Hammer Ln, Stockton, CA 95210-4119 | 2015-02-02 |
| 1225209109 | Lynda D. Winter | Eyewear Supplier (Equipment, not the service) | 622 Lincoln Ctr, Stockton, CA 95207-2640 | 2008-03-18 |
| 1629122270 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4950 Pacific Ave, Weberstown S/c, Stockton, CA 95207-6307 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1295333029 | Tiger & Lion Inc | Eyewear Supplier (Equipment, not the service) | 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 | 2020-10-14 |
| 1245866565 | Joshua Adolfo Velasquez | Eyewear Supplier (Equipment, not the service) | 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 | 2020-03-18 |
| 1952948424 | Luvc LLC | Eyewear Supplier (Equipment, not the service) | 2223 Carlton Ave, Pomona, CA 91768-1015 | 2019-12-04 |
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1184270746 | Nueyes Technologies Inc | Eyewear Supplier (Equipment, not the service) | 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 | 2019-08-09 |
| 1881248102 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 | 2019-07-25 |
| 1730732363 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 | 2019-07-23 |
| 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.