# KINGS EYE CENTER MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kings Eye Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083694319
- **Authorized official:** LINDA LEE-THOMAS (ADMINISTRATOR)
- **Authorized official phone:** (559) 585-3937

## Contact information

- **Practice address:** 1395 W LACEY BLVD, HANFORD, CA 93230-5904
- **Practice address phone:** (559) 585-3937
- **Practice address fax:** (559) 582-3645
- **Mailing address:** 1395 W LACEY BLVD, HANFORD, CA 93230-5904
- **Mailing address phone:** (559) 585-3937
- **Mailing address fax:** (559) 582-3645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 040000455 | CA | Yes |

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 03/23/2011