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COUNTY: STANISLAUS 2012 PROVIDER TYPE OPTICIAN NAME HOLDEN OPTICAL ADDRESS 1150 W BRANDENBURG SUITE CITY MODESTO ZIP CODE 95350 PHONE (209) 5269883 OPTOMETRIST OPTOMETRIST OPTOMETRIST CUSHING, GARY
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01
Gather all the necessary information and documents required for the provider application.
02
Start by providing your personal details such as name, address, contact information, and any professional credentials you possess.
03
Fill out the sections related to your organization, including its name, address, and legal structure.
04
If applicable, provide information about any other providers you are affiliated with or any previous provider history.
05
Complete the sections regarding the types of services you offer and the specific populations you serve.
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Provide details about the locations where you provide services and any additional sites or facilities associated with your organization.
07
Answer any questions related to billing and payment, including the types of insurance you accept and any sliding fee scales or financial assistance programs you offer.
08
Review the completed application form to ensure all required fields are filled out properly and all necessary supporting documents are attached.
09
Submit the application according to the specified instructions, such as mailing it to the appropriate department or submitting it electronically through a designated portal.

Who needs county Stanislaus 2012 provider?

01
Individuals or organizations interested in becoming a provider of services within Stanislaus County.
02
Existing providers within Stanislaus County who need to renew their credentials or update their information.
03
Anyone seeking to offer services within the specified time frame and geographic location covered by the Stanislaus County 2012 provider program.
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The county stanislaus provider type refers to the type or category of service provider in Stanislaus County.
All service providers operating in Stanislaus County are required to file the county stanislaus provider type.
To fill out the county stanislaus provider type, service providers need to provide information about their organization and the type of services they offer.
The purpose of the county stanislaus provider type is to categorize different service providers in Stanislaus County for administrative and data collection purposes.
The county stanislaus provider type typically requires information such as the organization's name, address, contact details, and the specific type of services provided.
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