Organization
SYLVAN EYE ASSOCIATES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY ALAN HORNER OD (VICE PRESIDENT)
(209) 575-2020
Entity
Organization
Contact information
Practice address
1011 SYLVAN AVE, SUITE A, MODESTO, CA 95350-1692
(209) 575-2020
(209) 758-5693
Mailing address
1011 SYLVAN AVE, SUITE A, MODESTO, CA 95350-1692
(209) 575-2020
(209) 758-5693
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0088410
OPTHALMOLOGY MEDICAL
CA
05
—
GSD088411
—
CA
01
—
ZZZ00823Z
BLUE SHIELD
—
Enumeration date
10/18/2005
Last updated
01/25/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up