Organization
ZEITER EYE MEDICAL GROUP, INC.
Active
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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