Family Vision Care Optometry Of Modesto

NPI 1174651483 - Optometrist - 152W00000X

NPI Details
NPI 1174651483
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELDON LANG ELDON
Position PRESIDENT
Phone (209) 524-9291
Fax (209) 524-6362
Practice Location
817 COFFEE RD
BUILDING D
MODESTO CA, 95355-4241, US
Phone (209) 524-9291
Fax (209) 524-6362
Business Location
817 COFFEE RD
BUILDING D
MODESTO CA, 95355-4241, US
Phone (209) 524-9291
Fax (209) 524-6362
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Family Vision Care Optometry Of Modesto NPI is 1174651483, taxonomy code is 152W00000X Family Vision Care Optometry Of Modesto physically located at 817 Coffee Rd, Modesto CA, 95355-4241. NPI Number 1033115704 has the healthcare provider type.

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1174651483 NPI number is provided on an as is basis without warranty of any kind. 1174651483 is maintained by the National Plan & Provider Enumeration System. The contents of Family Vision Care Optometry Of Modesto are for informational purposes only.