# MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609809144
- **Authorized official:** MAURA STONHAM-STEFFENS (BILLING/CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (916) 731-5955

## Contact information

- **Practice address:** 1830 SIERRA GARDENS DR, SUITE 100, ROSEVILLE, CA 95661-2942
- **Practice address phone:** (916) 782-2111
- **Practice address fax:** (916) 786-6966
- **Mailing address:** 1700 ALHAMBRA BLVD, SUITE 202, SACRAMENTO, CA 95816-7050
- **Mailing address phone:** (916) 731-8040
- **Mailing address fax:** (916) 454-4152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 01/17/2022