CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION
NPI 1114941796
Specialist in Tracy, CA

Q: What is Center For Sight Of Stockton A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 27, 2006

612 W 11TH ST, SUITE 103, TRACY, CA 95376(209) 836-4800(209) 836-3917 Get Directions Write a Review

NPPES record last updated: September 1, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Center For Sight Of Stockton A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION (NPI 1114941796) is a healthcare organization registered as a specialist in Tracy, California and active in the NPI registry since July 2006. The organization lists Philip E Edington, Director, as its authorized official.

NPPES Registry Identity

NPI1114941796

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION

Location Address612 W 11TH ST, SUITE 103Tracy, CA 95376-3855

Mailing Address1899 W. March LaneStockton, CA 95207-6402 · (209) 623-4700 · Fax (209) 623-4713

Phone(209) 836-4800

Fax(209) 836-3917

Organization SubpartNo

Authorized OfficialPhilip E EdingtonDirector · (209) 948-5515

Enumeration DateJuly 27, 2006

Last NPPES UpdateSeptember 1, 2017

✔ NPI 1114941796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

612 W 11TH ST, Tracy, CA 95376

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Other Identifiers 3

OtherZZZ26803ZCA · Group Ptan

Medicare PINZZZ26803ZCA

Medicare NSC1316090003CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Sight Of Stockton A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Center For Sight Of Stockton A Medical Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Charles Kim, M.D.

Ophthalmology

NPI 1104242924

1899 W MARCH LN
Stockton, CA 95207

(209) 623-4700

✔ PECOS✔ Accepts Medicare18 mi

Philip Edington, M.D.

Ophthalmology

NPI 1508837279

1899 W MARCH LN
Stockton, CA 95207

(209) 623-4700

✔ PECOS✔ Accepts Medicare18 mi

Majid Roubach, M.D.

Ophthalmology

NPI 1639550130

1899 W MARCH LN
Stockton, CA 95207

(209) 623-4700

✔ PECOS✔ Accepts Medicare18 mi

Daniel Wee, M.D.

Ophthalmology

NPI 1740480441

1899 W MARCH LN
Stockton, CA 95207

(209) 623-4700

✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Sight Of Stockton A Medical Corporation's NPI number?

The NPI number for Center For Sight Of Stockton A Medical Corporation is 1114941796. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Center For Sight Of Stockton A Medical Corporation located?

Center For Sight Of Stockton A Medical Corporation is located at 612 W 11th St Suite 103, Tracy, CA 95376. The listed phone number is (209) 836-4800.

What is Center For Sight Of Stockton A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Center For Sight Of Stockton A Medical Corporation enrolled in Medicare?

Yes. Center For Sight Of Stockton A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Sight Of Stockton A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Center For Sight Of Stockton A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Center For Sight Of Stockton A Medical Corporation accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Center For Sight Of Stockton A Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center For Sight Of Stockton A Medical Corporation was last updated on September 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.