# SUTTER GOULD MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sylvan Eye Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801843750
- **Authorized official:** STEVEN A MITNICK MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (209) 521-6097

## Contact information

- **Practice address:** 1011 SYLVAN AVE, \#C, MODESTO, CA 95350-1692
- **Practice address phone:** (209) 550-4780
- **Mailing address:** 600 COFFEE RD, MODESTO, CA 95355-4201
- **Mailing address phone:** (209) 524-1211

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020