National Provider Identifier Database

FRED WM STELLHORN OPTOMETRIC CORPORATION
Optometrist

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.


Contact Information

FRED WM STELLHORN OPTOMETRIC CORPORATION
140 N FREMONT ST STE A
MANTECA, CA95336-4729
Phone: 209-823-3151
Fax: 209-823-9712
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Low Vision Rehabilitation 152WL0500X
Occupational Vision 152WX0102X
Pediatrics 152WP0200X
Sports Vision 152WS0006X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for FRED WM STELLHORN OPTOMETRIC CORPORATION

NPI Number 1124290721
Legal business name
LBN
FRED WM STELLHORN OPTOMETRIC CORPORATION
Authorized official FREDERICK STELLHORN - (OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 03/24/2008
Last updated 08/25/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 5215 TPL
  • CA Medicaid: SD0052150

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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