Dr Robert Penner, MD | |
681 Third Avenue, Ste. B, Chula Vista, CA 91910 | |
(619) 425-2150 | |
(619) 425-2848 |
Full Name | Dr Robert Penner |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 681 Third Avenue, Chula Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982671541 | NPI | - | NPPES |
GR0067510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G5922 (California) | Primary |
Entity Name | Crown City Eye Center Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396840633 PECOS PAC ID: 7810998630 Enrollment ID: O20070122000649 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Penner, MD 681 Third Avenue, Ste. B, Chula Vista, CA 91910 Ph: (619) 425-2150 | Dr Robert Penner, MD 681 Third Avenue, Ste. B, Chula Vista, CA 91910 Ph: (619) 425-2150 |
Dr. Duane M Bryant, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 342 F St, Chula Vista, CA 91910 Phone: 619-422-1471 Fax: 619-422-0114 | |
Emma Coleen Mcdonnell, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 835 Third Ave Ste A, Chula Vista, CA 91911 Phone: 619-425-7755 | |
Majid Mani, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 835 Third Ave, Suite A, Chula Vista, CA 91911 Phone: 619-425-7755 Fax: 619-425-9057 | |
Maria E Castillejos, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 342 F St, Chula Vista, CA 91910 Phone: 619-422-1471 Fax: 619-422-0450 | |
Lina Amini, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 619-397-3088 Fax: 619-397-3388 | |
Parnian Arjmand, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 835 Third Ave Ste A, Chula Vista, CA 91911 Phone: 619-425-7755 Fax: 619-425-2138 | |
Dr. Tayson Delengocky, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 835 3rd Ave, Suite A, Chula Vista, CA 91911 Phone: 619-425-7755 Fax: 619-425-2138 |