DR. EDWARD F. NUCCIO (NPI# 1366480071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366480071 |
| Entity Type | Individual |
| Full Name | DR. EDWARD F. NUCCIO |
| Credential | O.D. |
| Practice Address |
4028 Dale Rd Suite 102 Modesto CA 95356-9505 |
| Practice Telephone | 2095272020 |
| Practice Fax Number | 2095275079 |
| Mailing Telephone | 2095272020 |
| Mailing Fax Number | 2095275079 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT8000T | CA | Eye and Vision Services Providers |
| Street Address |
4028 DALE RD SUITE 102 |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647005 | Tyler Finfrock | Physical Therapist | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2017-02-08 |
| 1619398062 | Orthopedic Physical Therapy Institute, Inc. | Clinic/Center | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2014-01-01 |
| 1548409147 | Travis Bartelink | Specialist | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2009-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1578913869 | Lidia Tekie | Optometrist | 1208 Floyd Ave Bldg C, Modesto, CA 95350-2470 | 2016-06-16 |
| 1215186598 | Lina Lee | Optometrist | 3200 Sisk Rd, Modesto, CA 95356-0546 | 2008-09-11 |
| 1366600082 | Peter S. Klem Fred P. Guarcello Ptr | Optometrist | 4028 Dale Road, Suite 102, Modesto, CA 95356-9561 | 2008-05-29 |
| 1104001965 | Erika Bray Ortega | Optometrist | 2401 E Orangeburg Ave Ste 280, Modesto, CA 95355-3396 | 2007-12-29 |
| 1114131141 | Stanislaus Optometric Center, Inc. | Optometrist | 4028 Dale Rd Ste 102, Modesto, CA 95356-9505 | 2007-05-09 |
| 1255450524 | Richard Alan Portillo | Optometrist | 1624 I St, Modesto, CA 95354-1122 | 2007-03-28 |
| 1619028842 | Lincoln Andrus Service Jr. | Optometrist | 3500 Sisk Rd, Best Plaza Ste E, Modesto, CA 95356-0550 | 2007-01-15 |
| 1336201615 | Keith Yun Kong Wong | Optometrist | 3401 Dale Rd, Suite 300, Modesto, CA 95356-0505 | 2006-12-14 |
| 1760558498 | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | Optometrist | 3601 Coffee Rd, Modesto, CA 95355 | 2006-11-27 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.