Provider Demographics
NPI:1285758516
Name:HORIZON VISION CENTERS MEDICAL GROUP,INC.
Entity type:Organization
Organization Name:HORIZON VISION CENTERS MEDICAL GROUP,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:510-297-5054
Mailing Address - Street 1:1851-A SUTTER STREET
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520
Mailing Address - Country:US
Mailing Address - Phone:925-246-7901
Mailing Address - Fax:925-246-7903
Practice Address - Street 1:1851 SUTTER ST STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2559
Practice Address - Country:US
Practice Address - Phone:925-246-7901
Practice Address - Fax:925-246-7903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery