Stanislaus Vision Associates Optometric Group INC
NPI #1457425852 in Modesto, California
Provider Information
- NPI Number
- 1457425852
- Entity Type
- Organization
- Organization Name
- Stanislaus Vision Associates Optometric Group INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Feb 6, 2012
Practice Location
- Address
- 1700 MCHENRY AVENUE
- Address 2
- SUITE 77
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4318
- Phone
- (209) 524-4626
Authorized Official
- Name
- DR. SPENCER H WHATCOTT, OD
- Title
- PRESIDENT
- Phone
- (209) 524-4626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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