Mr Roger F Carlson, MD | |
2852 Redwood Pkwy, Vallejo, CA 94591-3633 | |
(707) 553-8222 | |
(707) 553-1154 |
Full Name | Mr Roger F Carlson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 2852 Redwood Pkwy, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336195486 | NPI | - | NPPES |
ZZZ80657Z | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 00G231060 (California) | Primary |
Entity Name | Redwood Eye Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023061306 PECOS PAC ID: 8224139969 Enrollment ID: O20070724000700 |
Mailing Address | Practice Location Address |
---|---|
Mr Roger F Carlson, MD 2852 Redwood Pkwy, Vallejo, CA 94591-3633 Ph: (707) 553-8222 | Mr Roger F Carlson, MD 2852 Redwood Pkwy, Vallejo, CA 94591-3633 Ph: (707) 553-8222 |
William J. Casey, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Christianne Wa, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1460 N Camino Alto Ste 206, Vallejo, CA 94589 Phone: 800-573-8462 Fax: 707-552-9599 | |
Tien-an Yang, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Drive, Kaiser Permanente Medical Center, Vallejo, CA 94589 Phone: 707-651-5760 Fax: 707-651-2980 | |
Dr. Christine Yi-shin Chiou Smith, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5798 Fax: 707-651-2980 | |
Brian J. Bubnic, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Deanna K. Wilson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |