| NPI | 1033898226 |
|---|---|
| Doing Business As | MACT OPTOMETRY, SONORA |
| Entity Type | Organization |
| Authorized Contact | JOHN SHAWVER ALEXANDER Executive Director 209-754-6258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 152W00000X Optometrist |
| 171M00000X Case Manager/Care Coordinator | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-06-12 |