Modesto Optometric Vision Center Inc a Professional Optometric Corp
NPI 1891415410 · Optometrist · Modesto, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modesto Optometric Vision Center Inc a Professional Optometric Corp is a Optometrist organization in Modesto, CA (NPI 1891415410).
Provider details
- NPI number
- 1891415410
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lori Anderson, Office Manager(209) 869-3300
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-09-01
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Frequently asked questions
- What is Modesto Optometric Vision Center Inc a Professional Optometric Corp's NPI number?
- Modesto Optometric Vision Center Inc a Professional Optometric Corp's National Provider Identifier (NPI) is 1891415410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modesto Optometric Vision Center Inc a Professional Optometric Corp?
- Modesto Optometric Vision Center Inc a Professional Optometric Corp is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Modesto Optometric Vision Center Inc a Professional Optometric Corp located?
- Modesto Optometric Vision Center Inc a Professional Optometric Corp's practice location on file with NPPES is 3601 Coffee Rd, Modesto, CA 95355-1161.
- What is Modesto Optometric Vision Center Inc a Professional Optometric Corp's phone number?
- The practice phone number listed in the NPPES registry for Modesto Optometric Vision Center Inc a Professional Optometric Corp is (209) 521-1028.
- Does Modesto Optometric Vision Center Inc a Professional Optometric Corp accept Medicare?
- Modesto Optometric Vision Center Inc a Professional Optometric Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modesto Optometric Vision Center Inc a Professional Optometric Corp?
- The authorized official listed on Modesto Optometric Vision Center Inc a Professional Optometric Corp's NPPES record is Lori Anderson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modesto Optometric Vision Center Inc a Professional Optometric Corp's NPI active?
- Yes — Modesto Optometric Vision Center Inc a Professional Optometric Corp's NPI (1891415410) is active in the NPPES registry as of the last update on 2023-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.