Modesto Eye Center Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

A79534 Issued in CA

Legal business name

MODESTO EYE CENTER INC

Practice address

1741 Coffee Rd
Suite #1
Modesto, CA 95355-2807

Phone

(209) 549-2002

Fax

(209) 549-2004

NPI assigned

Nov 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Amin Ashrafzadeh, MDNPI 1326139825

Title

President

Phone

(209) 549-2002

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: mkhan@modestoeye.intellechartdirect.net
• Direct secure messaging: aashrafzadeh@modestoeye.intellechartdirect.net

Practitioners 3

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

• Amin Ashrafzadeh, MD

  • Specialist
  • Modesto, CA
  • NPI 1326139825
  Medicare reassignment NPD Authorized official
• Deborah Ellen Steinberg, OD

  • Optometrist
  • Atwater, CA
  • NPI 1225173917
  Medicare reassignment NPD
• Muhammed Umair Khan, OD

  • Optometrist
  • Newington, CT
  • NPI 1306369814
  NPD

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1942501952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 COFFEE RD",
            "address_2": "SUITE #1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552807",
            "telephone_number": "209-549-2002",
            "fax_number": "209-549-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 COFFEE RD",
            "address_2": "SUITE #1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552807",
            "telephone_number": "209-549-2002",
            "fax_number": "209-549-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-07",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "ASHRAFZADEH",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-549-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "A79534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A795340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6527380001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modesto Arts Medical Group, Inc.
• Modesto Chiropractic Center, a Rosen Family Corp.
• Modesto City Schools
• Modesto Dermatology and Skin Cancer PC
• Modesto Drug LLC
• Modesto Fire Department
• Modesto Gastroenterology Medical Corporation
• Modesto Gospel Mission
• Modesto Hearing Aid Center
• Modesto Kidney Center, Inc.

• Eyewear Supplier in Modesto, CA
• Providers in Modesto, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.