Advanced Optometric Services Inc
Organization Active NPI Optometrist · Modesto, CA
NPI 1104395722 · NPPES record last updated May 6, 2019
Key facts
- NPI
- 1104395722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ADVANCED OPTOMETRIC SERVICES INC
- Practice address
- 1208 Floyd Ave BLDG C
Modesto, CA 95350-2470 - Phone
- (209) 521-7771
- NPI assigned
- Nov 14, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Brandie J Medina, OD
- Title
- Owner
- Phone
- (209) 628-0110
Practitioners 2
-
Eric L. Kramer, O.D.
-
Lidia Tekie, OD
National Provider Directory
Locations
1208 Floyd Ave
Bldg C
Modesto, CA 95350
Phone (209) 521-7771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1208 Floyd Ave BLDG C
Modesto, CA 95350-2470
Mailing address
5942 Arena Way
Livingston, CA 95334-9314
Phone (209) 628-0110
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.