Eaton Optometric Group

LBN: Eaton Optometric Group
Eaton Optometric Group is an health care organization with primary practice located at 4598 S Tracy Blvd Ste 130 , Tracy CA 95377-8107. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eaton Optometric Group can be contacted via phone (209) 835-1181, or through Kaufmann, Sherri P via phone (209) 835-1181.

Contact Information

Primary practice address
4598 S Tracy Blvd Ste 130 Tracy CA 95377-8107
Phone: (209) 835-1181
Fax: (209) 835-9396
Website:
Map and Directions
Authorized official contact:
Name: Kaufmann, Sherri P
Phone: (209) 835-1181

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X FNP 543 California

Profile Details

NPI number 1699894774
LBN Legal business name Eaton Optometric Group
DBA Doing business as
Authorized official Kaufmann, Sherri P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 15th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699894774 NPPES
California MEDICAID GSD001220

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