| Antelope Valley Optometric Center, Inc. | |
|
1745 W Avenue K, Suite A, Lancaster, CA 93534-6501 | |
| (661) 942-8437 | |
| (661) 940-1959 |
| Full Name | Antelope Valley Optometric Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1745 W Avenue K, Lancaster, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548202864 | NPI | - | NPPES |
| ZZ40293Z | Other | CA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | COR 486 (California) | Primary |
| Provider Name | Richard N Petersen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407867161 PECOS PAC ID: 5698775963 Enrollment ID: I20070110000522 |
| Provider Name | Tara S Shields |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609056852 PECOS PAC ID: 9335218320 Enrollment ID: I20080516000257 |
| Provider Name | Jeffrey J Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053574657 PECOS PAC ID: 8325287766 Enrollment ID: I20130617000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Optometric Center, Inc. 1745 W Avenue K, Suite A, Lancaster, CA 93534-6501 Ph: (661) 942-8437 | Antelope Valley Optometric Center, Inc. 1745 W Avenue K, Suite A, Lancaster, CA 93534-6501 Ph: (661) 942-8437 |
Basil Mubarkeh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45104 10th St W, Lancaster, CA 93534 Phone: 661-941-9543 | |
Jeffrey Jay Clark, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 43927 15th St W, Lancaster, CA 93534 Phone: 661-948-6310 | |
Christina Alice Tang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1739 W Avenue J, Lancaster, CA 93534 Phone: 661-940-0555 | |
Dr. Nanar Hovasapian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 43112 15th St W, Lancaster, CA 93534 Phone: 833-574-2273 | |
Eyes Of Hope Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 44215 15th St W Ste 308, Lancaster, CA 93534 Phone: 818-239-2428 | |
Clifford Silverman, O.d. Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 42220 10th St W Ste 105, Lancaster, CA 93534 Phone: 661-945-9883 Fax: 661-726-2898 | |
Dr. Josephine Lai, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1739 W Avenue J, Lancaster, CA 93534 Phone: 661-945-4502 Fax: 661-945-4841 |