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Organization
MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY GROUP, INC
Active
Organization
MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN MUSHOLT (BILLING MGR)
(916) 731-5955
Entity
Organization
Contact information
Practice address
120A W COURT ST, WOODLAND, CA 95695-2901
(530) 668-6000
(530) 668-9560
Mailing address
1700 ALHAMBRA BLVD, SUITE 202, SACRAMENTO, CA 95816-7050
(916) 731-8040
(916) 454-4152
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
10/02/2007
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