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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us