Organization Name: | FREDERICK WILLIAM STELLHORN OPTOMETRIC CORPORATION |
NPI Number: | 1124290721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDERICK WILLIAM STELLHORN (OPTOMETRIST) |
Mailing Address: | 140 N Fremont St Ste A Manteca |
State: | CA US |
Postal Code: | 953364729 |
Phone Number: | 2098233151 |
Fax Number: | 2098239712 |
NPI Enumeration Date: | 03/24/2008 |
NPI Last Update Date: | 07/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 5215 TPL |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |