SearchCaliforniaOptometrist

Eric Miedema, OD

NPI 1336213735 · on the registry since 2006

Practice

Address
1700 Mchenry Avenue
Suite 77
Modesto, CA 95350
Phone
(209) 524-4626
Fax
(209) 524-1046
Organisation at this address
Stanislaus County
Phillip Ha Dental Corporation
Longs Drug Stores California Llc
Stanislaus Vision Associates Optometric Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-12-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California