Delta Eye Medical Group, Inc.

NPI #1457549123 in Lodi, California

Provider Information

NPI Number
1457549123
Entity Type
Organization
Organization Name
Delta Eye Medical Group, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
DELTA EYE MEDICAL GROUP, INC.
Primary Specialty
Ophthalmology
Enumeration Date
Oct 9, 2007
Last Updated
Jul 14, 2023

Practice Location

Address
521 S HAM LN
Address 2
SUITE A
City
Lodi
ZIP Code
95242-3528
Phone
(209) 334-5886

Authorized Official

Name
MS. LAURIE K SMITH
Title
CORPORATE CONTROLLER
Phone
(209) 334-5886

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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