| Insight Vision Center Medical Group, Inc. | |
|
1360 E Herndon Ave Ste 201, Fresno, CA 93720 | |
| (559) 449-5050 | |
| (559) 432-2632 |
| Full Name | Insight Vision Center Medical Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1360 E Herndon Ave Ste 201, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316949506 | NPI | - | NPPES |
| GR0078480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | C1935663 (California) | Primary |
| Provider Name | Maziar Bidar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689693657 PECOS PAC ID: 6103715032 Enrollment ID: I20050524001379 |
| Provider Name | Sharon S Hiyama |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154388692 PECOS PAC ID: 5597795187 Enrollment ID: I20050813000251 |
| Provider Name | Azhar I Salahuddin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801897194 PECOS PAC ID: 0446159644 Enrollment ID: I20070530000248 |
| Provider Name | Joseph F Ruda |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760466395 PECOS PAC ID: 9335248483 Enrollment ID: I20070630000105 |
| Provider Name | George A Bertolucci |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447267505 PECOS PAC ID: 4284630526 Enrollment ID: I20080407000700 |
| Provider Name | William A Maxwell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205898681 PECOS PAC ID: 4183710007 Enrollment ID: I20080625000654 |
| Provider Name | Eric James Poulsen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003819301 PECOS PAC ID: 1355249707 Enrollment ID: I20090204000165 |
| Provider Name | Patrick J Scott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376842559 PECOS PAC ID: 7416125273 Enrollment ID: I20110721000394 |
| Provider Name | Daniel C Prescott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588860829 PECOS PAC ID: 1254523715 Enrollment ID: I20120417000184 |
| Provider Name | Harinderpal S Chahal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942580253 PECOS PAC ID: 3577780857 Enrollment ID: I20140811000428 |
| Provider Name | Atif Ben Collins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891010948 PECOS PAC ID: 2365573326 Enrollment ID: I20160129000851 |
| Provider Name | Lisa Lu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063864452 PECOS PAC ID: 5890053532 Enrollment ID: I20180105000902 |
| Provider Name | Sanket S Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396137865 PECOS PAC ID: 3779902648 Enrollment ID: I20231003001044 |
| Provider Name | Ashley M Riley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528528197 PECOS PAC ID: 7618396581 Enrollment ID: I20231102002917 |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Vision Center Medical Group, Inc. 1360 E Herndon Ave Ste 201, Fresno, CA 93720-3326 Ph: (559) 449-5050 | Insight Vision Center Medical Group, Inc. 1360 E Herndon Ave Ste 201, Fresno, CA 93720 Ph: (559) 449-5050 |