Modesto Optometric Vision Center INC a Professional Optometric Corp

NPI #1891415410 in Modesto, California

Provider Information

NPI Number: 1891415410
Entity Type: Organization
Organization Name: Modesto Optometric Vision Center INC a Professional Optometric Corp
Primary Specialty: Optometrist
Enumeration Date: Sep 1, 2022
Last Updated: Mar 24, 2023

Practice Location

Address: 3601 COFFEE RD
City: Modesto
State: California
ZIP Code: 95355-1161
Phone: (209) 521-1028

Authorized Official

Name: LORI ANDERSON
Title: OFFICE MANAGER
Phone: (209) 869-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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