# SYLVAN EYE ASSOCIATES, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1740279207
- **Authorized official:** KERRY ALAN HORNER OD (VICE PRESIDENT)
- **Authorized official phone:** (209) 575-2020

## Contact information

- **Practice address:** 1011 SYLVAN AVE, SUITE A, MODESTO, CA 95350-1692
- **Practice address phone:** (209) 575-2020
- **Practice address fax:** (209) 758-5693
- **Mailing address:** 1011 SYLVAN AVE, SUITE A, MODESTO, CA 95350-1692
- **Mailing address phone:** (209) 575-2020
- **Mailing address fax:** (209) 758-5693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 01/25/2011