MANTECA OPTOMETRIC EYE CARE CENTER
NPI 1124290721
Optometrist in Manteca, CA

Q: What is Fred Wm Stellhorn Optometric Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 24, 2008

140 N FREMONT ST STE A, MANTECA, CA 95336(209) 823-3151(209) 823-9712 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Manteca Optometric Eye Care Center NPPES

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

MANTECA OPTOMETRIC EYE CARE CENTER (NPI 1124290721) is a healthcare organization registered as an optometrist in Manteca, California and active in the NPI registry since March 2008. The organization lists Frederick William Stellhorn, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1124290721

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameFRED WM STELLHORN OPTOMETRIC CORPORATION

Location Address140 N FREMONT ST STE AManteca, CA 95336-4729

Mailing Address140 N Fremont St Ste AManteca, CA 95336-4729 · (209) 823-3151 · Fax (209) 823-9712

Phone(209) 823-3151

Fax(209) 823-9712

Organization SubpartNo

Authorized OfficialFrederick William StellhornOptometrist · (209) 823-3151

Enumeration DateMarch 24, 2008

Last NPPES UpdateAugust 25, 2016

✔ NPI 1124290721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 5215 TPL

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 5215 TPL (CA)

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 5215 TPL (CA)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 5215 TPL (CA)

Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 5215 TPL (CA)

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 5215 TPL (CA)

Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 5215 TPL (CA)

140 N FREMONT ST STE A, Manteca, CA 95336

Open in Google Maps ↗

Other Names 1

Doing Business AsManteca Optometric Eye Care Center

Other Identifiers 3

Medicare NSC0761140001CA

Medicare PINSD0052150CA

MedicaidSD0052150CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Manteca Optometric Eye Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Manteca Optometric Eye Care Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Keith Wong, O.D.

Optometry

NPI 1336201615

3401 DALE RD SUITE 300
Modesto, CA 95356

(209) 574-0710

✔ PECOS11 mi

Prudence Smith, O.D.

Optometry

NPI 1790129633

5886 ARLENE WAY
Livermore, CA 94550

(925) 454-0199

✔ PECOS29 mi

Quyen Truong, OD

Optometry

NPI 1205305547

8511 TAMBOR WAY
Elk Grove, CA 95758

(916) 430-8424

✔ PECOS46 mi

Meeral Bhakta, O.D.

Optometry

NPI 1972939411

1645 INDUSTRIAL PKWY W
Hayward, CA 94544

(510) 274-5135

✔ PECOS✔ Accepts Medicare49 mi

Rajpreet Kaur, OD

Optometry

NPI 1427432681

2615 E CLINTON AVE
Fresno, CA 93703

(559) 225-6100

✔ PECOS106 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 Fred Wm Stellhorn Optometric Corporation's NPI number?

The NPI number for Fred Wm Stellhorn Optometric Corporation is 1124290721. It was assigned to this organization in the NPPES registry on March 24, 2008. The provider is doing business as Manteca Optometric Eye Care Center.

Where is Fred Wm Stellhorn Optometric Corporation located?

Fred Wm Stellhorn Optometric Corporation is located at 140 N Fremont St Ste A, Manteca, CA 95336. The listed phone number is (209) 823-3151.

What is Fred Wm Stellhorn Optometric Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Fred Wm Stellhorn Optometric Corporation enrolled in Medicare?

Yes. Fred Wm Stellhorn Optometric Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fred Wm Stellhorn Optometric Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Fred Wm Stellhorn Optometric 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 Fred Wm Stellhorn Optometric Corporation accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Fred Wm Stellhorn Optometric 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 Fred Wm Stellhorn Optometric Corporation was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.