| Sierra Eye Medical Group Inc. | |
|
2830 W Main St, Visalia, CA 93291-4331 | |
| (559) 636-1000 | |
| (559) 733-7438 |
| Full Name | Sierra Eye Medical Group Inc. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2830 W Main St, Visalia, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649214388 | NPI | - | NPPES |
| GR0048030 | Medicaid | CA | |
| A133113 | Other | CA | CALIFORNIA PHYSICIAN AND SURGEON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Steven Michael Cantrell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861431413 PECOS PAC ID: 1557338811 Enrollment ID: I20040915000697 |
| Provider Name | Michelle Cantrell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407060320 PECOS PAC ID: 6305946757 Enrollment ID: I20070713000516 |
| Provider Name | Matthew Grant Kirkman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457545774 PECOS PAC ID: 4981763919 Enrollment ID: I20081106000130 |
| Provider Name | William Gerlach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285674291 PECOS PAC ID: 8325148778 Enrollment ID: I20090831000116 |
| Provider Name | Lisa Strand Baloian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346297322 PECOS PAC ID: 5890979330 Enrollment ID: I20110407000877 |
| Provider Name | David Thomas Stark |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528491990 PECOS PAC ID: 8325460561 Enrollment ID: I20200617001167 |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Eye Medical Group Inc. 2830 W Main St, Visalia, CA 93291-4331 Ph: (559) 636-1000 | Sierra Eye Medical Group Inc. 2830 W Main St, Visalia, CA 93291-4331 Ph: (559) 636-1000 |