Dr. Eric E Miedema is a Modesto, California based male Optometrist with 32 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Eric E Miedema is OPT9947TPA for Optometry in California. Dr. Eric E Miedema examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Eric E Miedema speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
32+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1700 Mchenry Avenue, Suite 77, Modesto, California, 95350-4318
Phone:
209-524-4626
Fax:
209-524-1046
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4183791411
Enrollment ID:
I20081117000532
NPI Number:
1336213735
NPI Enumeration Date:
17 Nov, 2006
NPI Last Update On:
27 Dec, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eric E Miedema are as mentioned below.
License Number
Specialization
State
Status
OPT9947TPA
Optometry
California
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Eric E Miedema has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Stanislaus Vision Associates Optometric Group Inc (9133296460)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Eric E Miedema such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
410020358
Other
RAILROAD MEDICARE
SD0099470
Medicaid
California
94217822195350B2
Other
TRICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1700 Mchenry Avenue, Suite 77 Modesto, California
Zip:
95350-4318
Phone Number:
209-524-4626
Fax Number:
209-524-1046
Patients can reach Dr. Eric E Miedema at 1700 Mchenry Avenue, Suite 77, Modesto, California or can call to book an appointment on 209-524-4626. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.