MANTECA OPTOMETRY
NPI 1548339112
Optometrist - Pediatrics in Manteca, CA

Active since November 07, 2006
158 N MAPLE AVE, MANTECA, CA 95336(209) 239-3504(209) 239-0741 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Manteca Optometry NPPES

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

MANTECA OPTOMETRY (NPI 1548339112) is a healthcare organization registered as a pediatrics in Manteca, California and active in the NPI registry since November 2006. The organization lists Leanne Lee, Partner, as its authorized official.

NPPES Registry Identity

NPI1548339112
Entity TypeOrganization
Primary Taxonomy152WP0200X
Legal Business NameMANTECA OPTOMETRY
Location Address158 N MAPLE AVEManteca, CA 95336-4503
Mailing Address1532 Bennington CtStockton, CA 95209-4556 · (209) 477-3888
Fax(209) 239-0741
Organization SubpartNo
Authorized OfficialLeanne LeePartner · (209) 239-3504
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1548339112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License Licensed in CA · 12388T
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
158 N MAPLE AVE, Manteca, CA 95336

Other Identifiers 1

Other1982704979CA · My Npi Number

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

Other Providers at the Same Location NPPES 2

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

Optometrist
158 N MAPLE AVE
MANTECA, CA 95336
Optometrist
158 N MAPLE AVE
MANTECA, CA 95336

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 Manteca Optometry's NPI number?

The NPI number for Manteca Optometry is 1548339112. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Manteca Optometry located?

Manteca Optometry is located at 158 N Maple Ave, Manteca, CA 95336. The listed phone number is (209) 239-3504.

What is Manteca Optometry's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

When was this NPI record last updated?

The NPPES record for Manteca Optometry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.