Organization
ZEITER EYE MEDICAL GROUP, INC.
Active
Other names
Ambulatory Surgical Center of Zeiter Eye
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H ZEITER M.D. (PRESIDENT)
(209) 466-5566
Entity
Organization
Contact information
Practice address
117 N SAN JOAQUIN ST, STOCKTON, CA 95202-2406
(209) 466-5566
(209) 464-6950
Mailing address
117 N SAN JOAQUIN ST, STOCKTON, CA 95202-2406
(209) 466-5566
(209) 464-6950
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
030000483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01089F
—
CA
01
—
ZZZ15078Z
MEDICARE PTAN
CA
Enumeration date
11/22/2006
Last updated
10/27/2011
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