Medical Vision Technology Ophthalmology Group, Inc.

NPI #1295768737 in Folsom, California

Provider Information

NPI Number: 1295768737
Entity Type: Organization
Organization Name: Medical Vision Technology Ophthalmology Group, Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Jul 8, 2006
Last Updated: Oct 2, 2007

Practice Location

Address: 1561 CREEKSIDE DR
Address 2: SUITE 160
City: Folsom
State: California
ZIP Code: 95630-3492
Phone: (916) 983-4550

Authorized Official

Name: JOANN MUSHOLT
Title: BILLING MGR
Phone: (916) 731-5955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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