Matin Khoshnevis Md Inc | |
5773 Greenback Lane, Sacramento, CA 95841 | |
(916) 863-3143 | |
(916) 863-3148 |
Full Name | Matin Khoshnevis Md Inc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 5773 Greenback Lane, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134173099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Rebecca D Kennedy |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831120153 PECOS PAC ID: 0042110025 Enrollment ID: I20040113000735 |
Provider Name | Stephanie A Yoshimura |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356435697 PECOS PAC ID: 4183518483 Enrollment ID: I20040209000881 |
Provider Name | Jerome L Brendel |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831189620 PECOS PAC ID: 4789604158 Enrollment ID: I20051130000300 |
Provider Name | Edwin M Cook |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790166734 PECOS PAC ID: 5395035307 Enrollment ID: I20160603000731 |
Provider Name | Justin P Kozloski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407305097 PECOS PAC ID: 7911287586 Enrollment ID: I20170609001993 |
Provider Name | Vu Nguyen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760971402 PECOS PAC ID: 6002169166 Enrollment ID: I20181019001512 |
Provider Name | Matin Khoshnevis |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1477907020 PECOS PAC ID: 0648557447 Enrollment ID: I20200716002334 |
Provider Name | Thi Phuong Thuy Phung |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922699271 PECOS PAC ID: 2668887894 Enrollment ID: I20210219001324 |
Provider Name | Aruj Ali |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265174254 PECOS PAC ID: 9133505118 Enrollment ID: I20220928001369 |
Mailing Address | Practice Location Address |
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Matin Khoshnevis Md Inc 5773 Greenback Lane, Sacramento, CA 95841 Ph: (916) 863-3143 | Matin Khoshnevis Md Inc 5773 Greenback Lane, Sacramento, CA 95841 Ph: (916) 863-3143 |