Organization
SIERRA EYE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT H MARQUEZ (DIRECTOR BUSINESS SERVICES)
(559) 636-1000
Entity
Organization
Contact information
Practice address
2830 W MAIN ST, VISALIA, CA 93291-4331
(559) 636-1000
(559) 733-7438
Mailing address
2830 W MAIN ST, VISALIA, CA 93291-4331
(559) 636-1000
(559) 733-7438
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A133113
CALIFORNIA PHYSICIAN AND SURGEON
CA
05
—
GR0048030
—
CA
Enumeration date
06/15/2006
Last updated
10/01/2020
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