Ethan H Tittler (NPI# 1649562406, PAC ID# 6800102591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1649562406 |
PAC ID by PECOS | 6800102591 |
Professional Enrollment ID | I20150825005719 |
Full Name | Ethan H Tittler |
Organization Legal Name | SYLVAN EYE ASSOCIATES AN OPTOMETRIC CORPORATION |
Address |
1011 Sylvan Ave Suite A Modesto CA 95350-1693 |
Phone Number | 2095752020 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 5193700920 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050726 | STANISLAUS SURGICAL HOSPITAL |
050118 | DOCTORS HOSPITAL OF MANTECA |
050557 | MEMORIAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 | 2095752020 | SYLVAN EYE ASSOCIATES AN OPTOMETRIC CORPORATION |
36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2099523700 | CENTRAL VALLEY EYE MEDICAL GROUP INC |
Organization Legal Name | SYLVAN EYE ASSOCIATES AN OPTOMETRIC CORPORATION |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronald F Janda | Optometry | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Stanley M Martin | Optometry | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
On-tat Lee | Ophthalmology | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Lina Lee | Optometry | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Jeffery Adkins | Ophthalmology | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Kerry A Horner | Optometry | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Daniel Youngjun Choi | Ophthalmology | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Jeffrey J Ing | Ophthalmology | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Sharon I Lutosky | Ophthalmology | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Street Address |
1011 SYLVAN AVE SUITE A |
City | MODESTO |
State | CA |
Zip | 95350-1693 |
Name | Specialty | Organization | Address |
---|---|---|---|
Radha Chirumamilla | Internal Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Juan Sarti | Anesthesiology | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Ronald F Janda | Optometry | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
Ronald Dale Jensen | Podiatry | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Steven E Kobrine | Emergency Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Pallavi Sharma | Emergency Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Vivian Tan | Anesthesiology | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Kenneth Imanaka | Anesthesiology | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
David Betz | Anesthesiology | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Esra Olgun | Internal Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
Find all physicians in zip 95350 |
City | MODESTO |
Zip Code | 95350 |
Specialty | OPHTHALMOLOGY |
City + Specialty | MODESTO + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Ethan H Tittler.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.