OrganizationActive
Central Valley Eye Medical Group
NPI 1619099413 · Eyewear Supplier · Stockton, CA
Provider details
- NPI number
- 1619099413
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Stevens Kim, Treasurer(209) 952-3700
Specialties & taxonomies
Suppliers
Practice location
36 W Yokuts Ave
Stockton, CA 95207-5713
Phone: (209) 952-3700
Fax: (209) 478-3302
Approximate (ZIP-level) locationGet directions
Mailing address
36 W Yokuts Ave
Stockton, CA 95207-5713
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.