Stanislaus Optometric Center, Inc.
NPI #1114131141 in Modesto, California
Provider Information
- NPI Number
- 1114131141
- Entity Type
- Organization
- Organization Name
- Stanislaus Optometric Center, Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4028 DALE RD STE 102
- City
- Modesto
- State
- California
- ZIP Code
- 95356-9505
- Phone
- (209) 527-2020
Authorized Official
- Name
- DR. EDWARD F. NUCCIO, O.D,
- Title
- OWNER
- Phone
- (209) 527-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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