CENTRAL VALLEY EYE MEDICAL GROUP INC.
NPI 1477675387
Eyewear Supplier in Manteca, CA

Active since April 04, 2007
200 COTTAGE AVE, STE 102, MANTECA, CA 95336(209) 239-5303(209) 239-0090 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Valley Eye Medical Group Inc. NPPES

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

CENTRAL VALLEY EYE MEDICAL GROUP INC. (NPI 1477675387) is a healthcare organization registered as an eyewear supplier in Manteca, California and active in the NPI registry since April 2007. The organization lists Stevens Y Kim, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1477675387
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCENTRAL VALLEY EYE MEDICAL GROUP INC.
Location Address200 COTTAGE AVE, STE 102Manteca, CA 95336-4935
Mailing Address36 W Yokuts Ave, Ste 1Stockton, CA 95207-5713
Fax(209) 239-0090
Organization SubpartNo
Authorized OfficialStevens Y KimTreasurer · (209) 952-3700
Enumeration DateApril 4, 2007
Last NPPES UpdateOctober 8, 2014
NPI 1477675387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

200 COTTAGE AVE, Manteca, CA 95336

Other Identifiers 2

Medicare NSC1208550002
MedicaidGR0076150CA

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20547041
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
200 COTTAGE AVE, STE 203
MANTECA, CA 95336
Internal Medicine
200 COTTAGE AVE, SUITE 201
MANTECA, CA 95336
Psychiatry & Neurology (Neurology)
200 COTTAGE AVE, STE 200
MANTECA, CA 95336
Urology
200 COTTAGE AVE, STE 101
MANTECA, CA 95336
Non-Pharmacy Dispensing Site
200 COTTAGE AVE, STE 201
MANTECA, CA 95336
Pediatrics
200 COTTAGE AVE, SUITE 202
MANTECA, CA 95336
Internal Medicine
200 COTTAGE AVE, SUITE 201
MANTECA, CA 95336
Urology
200 COTTAGE AVE, SUTE 101
MANTECA, CA 95336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477675387, enumerated as an "organization" on April 04, 2007.

The provider is located at 200 COTTAGE AVE STE 102 MANTECA, CA 95336 and the phone number is (209) 239-5303.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.