MODESTO OPTOMETRIC VISION CENTER INC A PROFESSIONAL OPTOMETRIC CORP
NPI 1891415410
Optometrist in Modesto, CA

Q: What is Modesto Optometric Vision Center Inc A Professional Optometric Corp's specialty?

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

Active since September 01, 2022

3601 COFFEE RD, MODESTO, CA 95355(209) 521-1028(209) 521-7488 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2023, Sep 1, 2022 (2 updates tracked since 2022).

On this page

About Modesto Optometric Vision Center Inc A Professional Optometric Corp NPPES

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

MODESTO OPTOMETRIC VISION CENTER INC A PROFESSIONAL OPTOMETRIC CORP (NPI 1891415410) is a healthcare organization registered as an optometrist in Modesto, California and active in the NPI registry since September 2022. The organization lists Lori Anderson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891415410

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMODESTO OPTOMETRIC VISION CENTER INC A PROFESSIONAL OPTOMETRIC CORP

Location Address3601 COFFEE RDModesto, CA 95355-1161

Mailing Address3601 Coffee RdModesto, CA 95355-1161 · (209) 521-1028 · Fax (209) 521-7488

Phone(209) 521-1028

Fax(209) 521-7488

Organization SubpartNo

Authorized OfficialLori AndersonOffice Manager · (209) 869-3300

Enumeration DateSeptember 1, 2022

Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration

NPPES CertifiedMarch 24, 2023

✔ NPI 1891415410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

3601 COFFEE RD, Modesto, CA 95355

Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modesto Optometric Vision Center Inc A Professional Optometric Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Modesto Optometric Vision Center Inc A Professional Optometric Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Elliott, O.D.

Optometry

NPI 1760566434

6331 JACKSON AVE
Riverbank, CA 95367

(209) 869-3300

✔ PECOS✔ Accepts Medicare3.1 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 Modesto Optometric Vision Center Inc A Professional Optometric Corp's NPI number?

The NPI number for Modesto Optometric Vision Center Inc A Professional Optometric Corp is 1891415410. It was assigned to this organization in the NPPES registry on September 1, 2022.

Where is Modesto Optometric Vision Center Inc A Professional Optometric Corp located?

Modesto Optometric Vision Center Inc A Professional Optometric Corp is located at 3601 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 521-1028.

What is Modesto Optometric Vision Center Inc A Professional Optometric Corp's specialty?

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

Is Modesto Optometric Vision Center Inc A Professional Optometric Corp enrolled in Medicare?

Yes. Modesto Optometric Vision Center Inc A Professional Optometric Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modesto Optometric Vision Center Inc A Professional Optometric Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Modesto Optometric Vision Center Inc A Professional Optometric Corp. 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.

When was this NPI record last updated?

The NPPES record for Modesto Optometric Vision Center Inc A Professional Optometric Corp was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.