| |
45 Castro St Ste 318, San Francisco, CA 94114-1019 | |
(415) 431-9555 | |
(415) 431-9251 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 45 Castro St Ste 318, San Francisco, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568575959 | NPI | - | NPPES |
ZZZ03605Z | Other | CA | GROUP MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | U80826 (California) | Secondary |
207W00000X | Ophthalmology | B75077 (California) | Secondary |
207W00000X | Ophthalmology | I03555 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
45 Castro St Ste 318, San Francisco, CA 94114-1019 Ph: (415) 431-9555 | 45 Castro St Ste 318, San Francisco, CA 94114-1019 Ph: (415) 431-9555 |