VISALIA EYE CENTER, INC.

Provider Demographics

• NPI: 1770527335
• Name: VISALIA EYE CENTER, INC.
• Entity type: Organization
• Organization Name: VISALIA EYE CENTER, INC.
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: DR
• Authorized Official - First Name: STAN
• Authorized Official - Middle Name: HARRISON
• Authorized Official - Last Name: FEIL
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 559-733-4372
• Mailing Address - Street 1: 112 N AKERS ST
• Mailing Address - Street 2: SUITE A
• Mailing Address - City: VISALIA
• Mailing Address - State: CA
• Mailing Address - Zip Code: 93291-5121
• Mailing Address - Country: US
• Mailing Address - Phone: 559-733-4372
• Mailing Address - Fax: 559-733-1758
• Practice Address - Street 1: 112 N AKERS ST
• Practice Address - Street 2: SUITE A
• Practice Address - City: VISALIA
• Practice Address - State: CA
• Practice Address - Zip Code: 93291-5121
• Practice Address - Country: US
• Practice Address - Phone: 559-733-4372
• Practice Address - Fax: 559-733-1758
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-15
• Last Update Date: 2018-06-21

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207W00000X	Allopathic & Osteopathic Physicians	Ophthalmology		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	1164427597	Other	DAVID G. FEIL, M.D. (NPI)
CA	OPT 8061	Other	MIKE BAUMANN, OD LICENSE#
CA	G15339	Other	DAVID FEIL, MD LICENSE#
CA	GR0101220	Medicaid
CA	OPT12847TPA	Other	MATTHEW OBLAD, OD LIC#
	1942205240	Other	STAN H. FEIL, M.D. (NPI)
CA	G084602	Other	STAN FEIL MD LICENSE#
CA	ZZZ663172Z	Other	BLUE SHIELD GROUP PROV#
	1427139377	Other	MATTHEW W. OBLAD, O.D. (NPI)
	1427139377	Other	MICHAEL W. BAUMANN, O.D. (NPI)
	1164427597	Other	DAVID G. FEIL, M.D. (NPI)
	A39506	Medicare UPIN
CA	5511200001	Medicare NSC
	V10578	Medicare UPIN
	T70249	Medicare UPIN