Provider Demographics
NPI:1578227153
Name:BIG VALLEY EYE, INC
Entity Type:Organization
Organization Name:BIG VALLEY EYE, INC
Other - Org Name:VALLEY MEDICAL PLAZA AMBULATORY SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHARIFI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-432-4200
Mailing Address - Street 1:1680 E HERNDON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3384
Mailing Address - Country:US
Mailing Address - Phone:559-432-4200
Mailing Address - Fax:
Practice Address - Street 1:1680 E HERNDON AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3384
Practice Address - Country:US
Practice Address - Phone:559-432-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-28
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty