Dr Edwin E Boldrey, MD | |
2485 Hospital Dr, Orchard Pavilion Ste 200, Mountain View, CA 94040-4101 | |
(650) 988-7480 | |
(650) 988-7482 |
Full Name | Dr Edwin E Boldrey |
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Gender | Male |
Speciality | Ophthalmology |
Location | 2485 Hospital Dr, Mountain View, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801880745 | NPI | - | NPPES |
180014997 | Other | CA | MEDICARE RAILROAD |
00G170692 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G17069 (California) | Primary |
Entity Name | Northern California Retina Vitreous Associates Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538275920 PECOS PAC ID: 9133271927 Enrollment ID: O20090708000468 |
Mailing Address | Practice Location Address |
---|---|
Dr Edwin E Boldrey, MD 2485 Hospital Dr, Orchard Pavilion Ste 200, Mountain View, CA 94040-4101 Ph: (650) 988-7480 | Dr Edwin E Boldrey, MD 2485 Hospital Dr, Orchard Pavilion Ste 200, Mountain View, CA 94040-4101 Ph: (650) 988-7480 |
Dr. Jennifer P Wang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 525 South Drive, Suite 219, Mountain View, CA 94040 Phone: 650-969-4600 Fax: 650-969-1936 | |
Dr. Jeffrey Liu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1174 Castro St Ste 100, Mountain View, CA 94040 Phone: 650-961-2585 Fax: 650-961-6527 | |
Dr. James D Palmer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2485 Hospital Dr, Orchard Pavilion Ste 200, Mountain View, CA 94040 Phone: 650-988-7480 Fax: 650-988-7482 | |
Dr. Mark R Wieland, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2485 Hospital Dr, Suite 200, Mountain View, CA 94040 Phone: 650-988-7480 Fax: 650-988-7482 | |
Lee Shahinian Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1174 Castro St, Suite 100, Mountain View, CA 94040 Phone: 650-961-2585 Fax: 650-961-6527 | |
Sheila Town, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 565 South Drive, Suite 219, Mountain View, CA 94087 Phone: 650-969-4600 Fax: 650-969-1936 | |
Dr. Alok Bansal, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2485 Hospital Dr, Suite 200, Mountain View, CA 94040 Phone: 650-988-7480 |