OrganizationActive
Advanced Optometric Services Inc
NPI 1104395722 · Optometrist · Modesto, CA
Advanced Optometric Services Inc is a Optometrist organization in Modesto, CA (NPI 1104395722).
Provider details
- NPI number
- 1104395722
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brandie Medina, Owner(209) 628-0110
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1208 Floyd Ave Bldg C
Modesto, CA 95350-2470
Phone: (209) 521-7771
Street-level locationGet directions
Mailing address
5942 Arena Way
Livingston, CA 95334-9314
Registry dates
- Enumerated
- 2018-11-14
- Last updated
- 2019-05-06
Frequently asked questions
- What is Advanced Optometric Services Inc's NPI number?
- Advanced Optometric Services Inc's National Provider Identifier (NPI) is 1104395722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Optometric Services Inc?
- Advanced Optometric Services Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Advanced Optometric Services Inc located?
- Advanced Optometric Services Inc's practice location on file with NPPES is 1208 Floyd Ave Bldg C, Modesto, CA 95350-2470.
- What is Advanced Optometric Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Advanced Optometric Services Inc is (209) 521-7771.
- Who is the authorized official for Advanced Optometric Services Inc?
- The authorized official listed on Advanced Optometric Services Inc's NPPES record is Brandie Medina, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Optometric Services Inc's NPI active?
- Yes — Advanced Optometric Services Inc's NPI (1104395722) is active in the NPPES registry as of the last update on 2019-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.