Organization
GREGORY A STAINER MD FACS A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Southwest Eye Care and Laser Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A STAINER M.D. (PRESIDENT)
(661) 393-2331
Entity
Organization
Contact information
Practice address
215 CHINA GRADE LOOP, BAKERSFIELD, CA 93308-1707
(661) 393-2331
(661) 393-6284
Mailing address
215 CHINA GRADE LOOP, BAKERSFIELD, CA 93308-1707
(661) 393-2331
(661) 393-6284
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
CA
207W00000X
Ophthalmology Physician
Primary
G41135
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ37940Z
—
CA
Enumeration date
12/18/2006
Last updated
05/14/2015
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