OrganizationMedical Vision Technology Ophthalmology Group, IncOphthalmologyAllopathic & Osteopathic PhysiciansPractice Address120a W Court St, Woodland, CA 95695-2901(530) 668-6000(916) 731-8040PECOS EnrollmentBased on the most recent information from CMS, provider Medical Vision Technology Ophthalmology Group, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1720011158Provider TypeOrganizationFull NameMedical Vision Technology Ophthalmology Group, IncSubpartNoEnumeration Date7/9/2006Last Updated10/2/2007Contact InformationPractice LocationPractice Address120a W Court St, Woodland, CA 95695-2901Phone(530) 668-6000Fax(530) 668-9560Mailing LocationMailing Address1700 Alhambra Blvd, Suite 202, Sacramento, CA 95816-7050Phone(916) 731-8040Fax(916) 454-4152Authorized OfficialNameMusholt, Joann (Billing Mgr)Phone(916) 731-5955Provider TaxonomiesCodeDescriptionLicenseCode207W00000XPrimaryDescriptionOphthalmologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDGR0042243DescriptionMedicaidIssuerUnlistedCalifornia