Dr Amanda Richards Lakusta, MD | |
112 N Akers St Ste A, Visalia, CA 93291-5121 | |
(559) 733-4372 | |
(559) 733-1758 |
Full Name | Dr Amanda Richards Lakusta |
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Gender | Female |
Speciality | Ophthalmology |
Location | 112 N Akers St Ste A, Visalia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528288669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 0101254763 (Virginia) | Secondary |
207W00000X | Ophthalmology | D79626 (Maryland) | Secondary |
207W00000X | Ophthalmology | C154815 (California) | Primary |
Entity Name | Visalia Eye Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770527335 PECOS PAC ID: 0345264222 Enrollment ID: O20060118000596 |
Mailing Address | Practice Location Address |
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Dr Amanda Richards Lakusta, MD 112 N Akers St Ste A, Visalia, CA 93291-5121 Ph: (559) 733-4372 | Dr Amanda Richards Lakusta, MD 112 N Akers St Ste A, Visalia, CA 93291-5121 Ph: (559) 733-4372 |
Dr. David Gordon Feil, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 112 N Akers St, Suite A, Visalia, CA 93291 Phone: 559-733-4372 Fax: 559-733-1758 | |
Nathan Robert Elledge, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 | |
Byron William Riegel, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2830 W Main St, Visalia, CA 93291 Phone: 559-636-1000 Fax: 559-733-7438 | |
Kenneth Leroy Westbrook, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2830 W Main St, Visalia, CA 93291 Phone: 559-636-1000 Fax: 559-733-7438 | |
Chia-wen Annie Chang, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5021 W Noble Ave, Ste A, Visalia, CA 93277 Phone: 559-627-9393 Fax: 559-627-1624 | |
Dr. Matthew Grant Kirkman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2830 W Main St, Visalia, CA 93291 Phone: 559-636-1000 | |
Michael Irwin Boone, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5021 W Noble Ave, Suite A, Visalia, CA 93277 Phone: 559-627-9393 Fax: 559-627-1624 |