Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANTECA OPTOMETRY
Active OrganizationMANTECA OPTOMETRY is a Pediatric Optometrist organization located in MANTECA, California. NPI 1548339112 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · MANTECA, CA
Registration Details
- NPI Number
- 1548339112
- Provider Type
- Organization
- NPI Issued
- Nov 7, 2006 (19.781984405317 yrs)
- Last Updated
- Aug 22, 2020
- License
-
12388T (CA)
Practice Information
- Address
-
158 N MAPLE AVEMANTECA, CA, 953364503Browse CA providers · Browse ZIP 95336
- Phone
- 2092393504
- Fax
- 2092390741
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.