# SHASTA EYE SURGEONS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Northern California
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497740872
- **Authorized official:** GEORGE L NEAL (ASSISTANT SECRETARY)
- **Authorized official phone:** (844) 377-6468

## Contact information

- **Practice address:** 950 BUTTE ST, REDDING, CA 96001-0827
- **Practice address phone:** (530) 223-2500
- **Practice address fax:** (530) 241-1408
- **Mailing address:** 950 BUTTE ST, REDDING, CA 96001-0827
- **Mailing address phone:** (530) 223-2500
- **Mailing address fax:** (530) 241-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 051087 | CA | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | 051087 | CA | — |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 02/05/2020