Charles Kim (NPI# 1104242924, PAC ID# 9032334974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1104242924 |
| PAC ID by PECOS | 9032334974 |
| Professional Enrollment ID | I20160718001191 |
| Full Name | Charles Kim |
| Organization Legal Name | CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION |
| Address |
1899 W March Lane Stockton CA 95207-0001 |
| Phone Number | 2096234700 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2264499037 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050118 | DOCTORS HOSPITAL OF MANTECA |
| Address | Phone | Organization |
|---|---|---|
| 1899 W March Lane, Stockton, CA 95207-0001 | 2096234700 | CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION |
| Organization Legal Name | CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip A Edington | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Majid Roubach | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Daniel Wee | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Angela P Maharaj | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Christine Sager | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Rajpreet Kaur | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Street Address |
1899 W MARCH LANE |
| City | STOCKTON |
| State | CA |
| Zip | 95207-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip A Edington | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Majid Roubach | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Daniel Wee | Ophthalmology | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Angela P Maharaj | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Christine Sager | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Rajpreet Kaur | Optometry | Center for Sight of Stockton A Medical Corporation | 1899 W March Lane, Stockton, CA 95207-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sou Her | Family Medicine | 75 W March Lane J, Stockton, CA 95207 | |
| Edward C Greenleaf | Radiation Oncology | 2027 Grand Canal, Suite 25, Stockton, CA 95207 | |
| James H Holmes Jr. | Family Practice | 1502 St Mark's Plaza, Suite 5, Stockton, CA 95207 | |
| Chinh Nguyen | Optometry | 83 W March Lane, Suite 4, Stockton, CA 95207 | |
| Scott R Inoue | Chiropractic | 333 San Carlos Way B, Stockton, CA 95207-2037 | |
| Bao Quy Nguyen | Family Medicine | 6940 Pacific Ave, Stockton, CA 95207-2602 | |
| Katrina B Mcginnis | Nurse Practitioner | Alexander Y Chan, Md Inc | 6940 Pacific Ave, Stockton, CA 95207-2602 |
| Michael Pontius | Optometry | 715 Lincoln Ctr, Stockton, CA 95207-2644 | |
| Hung Quoc Le | Oral Surgery | 6360 Pacific Ave, Suite 2, Stockton, CA 95207-3723 | |
| Joy S Elliott-demars | Physician Assistant | Planned Parenthood Mar Monte, Inc | 415 W Benjamin Holt Dr, D2, Stockton, CA 95207-3958 |
| Find all physicians in zip 95207 | |||
| City | STOCKTON |
| Zip Code | 95207 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | STOCKTON + OPHTHALMOLOGY |
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| 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.