| Stanislaus Optometric Center, Inc. | |
|
4028 Dale Rd Ste 102, Modesto, CA 95356-9505 | |
| (209) 527-2020 | |
| (209) 527-5079 |
| Full Name | Stanislaus Optometric Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4028 Dale Rd Ste 102, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114131141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT8000T (California) | Primary |
| Provider Name | Edward F Nuccio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366480071 PECOS PAC ID: 2365435245 Enrollment ID: I20040408001371 |
| Provider Name | Steven Thomas Perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821571043 PECOS PAC ID: 0648523621 Enrollment ID: I20181020000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanislaus Optometric Center, Inc. 4028 Dale Rd Ste 102, Modesto, CA 95356-9505 Ph: (209) 527-2020 | Stanislaus Optometric Center, Inc. 4028 Dale Rd Ste 102, Modesto, CA 95356-9505 Ph: (209) 527-2020 |
Dr. Ronald F Janda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Ste. A, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy, Modesto, CA 95350 Phone: 209-702-6240 | |
Dr. Keith David Kajioka, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 809 Sylvan Ave, Suite 103, Modesto, CA 95350 Phone: 209-524-0100 Fax: 209-524-0596 | |
Dr. Patrick A Lonowski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4120 Hallmark Way, Modesto, CA 95356 Phone: 209-390-4842 | |
Stanley Michael Martin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
Dr. Mark Henry Harder, OD Optometrist Medicare: Medicare Enrolled Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 | |
Mark Harder Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 |