Provider Demographics
NPI:1326385774
Name:VISIONCARE OF CALIFORNIA
Entity Type:Organization
Organization Name:VISIONCARE OF CALIFORNIA
Other - Org Name:STERLING VISIONCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHASHATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-454-4647
Mailing Address - Street 1:1241 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2207
Mailing Address - Country:US
Mailing Address - Phone:831-424-1242
Mailing Address - Fax:
Practice Address - Street 1:1241 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2207
Practice Address - Country:US
Practice Address - Phone:831-424-1242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMERGING VISION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty