MODESTO EYE CENTER INC (NPI# 1942501952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942501952 |
Entity Type | Organization |
Organization Name | MODESTO EYE CENTER INC |
Practice Address |
1741 Coffee Rd Suite #1 Modesto CA 95355-2807 |
Practice Telephone | 2095492002 |
Practice Fax Number | 2095492004 |
Mailing Telephone | 2095492002 |
Mailing Fax Number | 2095492004 |
Enumeration Date | 2010-11-07 |
Last Update Date | 2011-09-28 |
Authorized Official Name | DR. AMIN ASHRAFZADEH (PRESIDENT) |
Authorized Official Telephone | 2095492002 |
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) | A79534 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PTAN | 6527380001 | 01 | |
CA | 00A795340 | 05 |
Street Address |
1741 COFFEE RD SUITE #1 |
City | MODESTO |
State | CA |
Zip Code | 95355-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285613281 | Forrest S Butner | Chiropractor | 1741 Coffee Rd, Suite 2, Modesto, CA 95355-2807 | 2006-01-10 |
1326139825 | Amin Ashrafzadeh | Specialist | 1741 Coffee Rd, #1, Modesto, CA 95355-2807 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
Find all providers in zip 95355 |
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 |
---|---|---|---|---|
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 |
1821488404 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3801 Pelandale Ave Ste A, Modesto, CA 95356-8300 | 2015-02-03 |
1508018722 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3401 Dale Rd Ste 483, Modesto, CA 95356-0586 | 2008-10-21 |
1205984838 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 Vintage Faire Mall, Modesto, CA 95356-0559 | 2007-01-08 |
1306851142 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3401 Dale Road, Modesto, CA 95356 | 2006-07-30 |
1841345394 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Sisk Rd, Best Plaza Ste #e, Modesto, CA 95356-0550 | 2007-01-24 |
1760547756 | Pearle Visioncare Inc | Eyewear Supplier (Equipment, not the service) | 3401 Dale Rd, Vintage Faire Mall Ste 303, Modesto, CA 95356-0505 | 2006-12-27 |
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 |
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 |
1780247858 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 8129 W 3rd St, Los Angeles, CA 90048-4308 | 2019-04-15 |
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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.