Peter S. Klem Fred P. Guarcello PTR

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PETER S. KLEM FRED P. GUARCELLO PTR

Practice address

4028 Dale Road
Suite 102
Modesto, CA 95356-9561

Phone

(209) 527-7784

Fax

(209) 527-5079

NPI assigned

May 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred Paul Guarcello, O.D.NPI 1700812658

Title

Partner

Phone

(209) 527-7784

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Paul Guarcello, O.D.

  • Corneal and Contact Management Optometrist
  • Roseville, CA
  • NPI 1700812658
  NPD Authorized official
• Peter Sherman Klem, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1518982065
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1366600082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 DALE ROAD",
            "address_2": "SUITE 102",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569561",
            "telephone_number": "209-527-7784",
            "fax_number": "209-527-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 DALE ROAD",
            "address_2": "SUITE 102",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569561",
            "telephone_number": "209-527-7784",
            "fax_number": "209-527-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S. KLEM FRED P. GUARCELLO PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GUARCELLO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-527-7784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366600082",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ma Rhea Revelina Persic
• Aftenthyn Leeander Person
• Joshua Petalio
• Pete Herron
• Peter K. Sien, MD, Inc.
• Amber K Peters-Briggs
• Laura Peters
• Roger Dale Peters, MH CLINICIAN II-MFT
• Tom Ferenczik Peters
• Amy Janelle Petersen, NP

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.