| Canyon Lake Optometry | |
|
31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | |
| (951) 244-4444 | |
| Not Available |
| Full Name | Canyon Lake Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 31722 Railroad Canyon Rd, Canyon Lake, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164660072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11993 (California) | Primary |
| Provider Name | Steven D Holmstrom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093844342 PECOS PAC ID: 7618881335 Enrollment ID: I20040302000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Lake Optometry 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 Ph: (951) 244-4444 | Canyon Lake Optometry 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 Ph: (951) 244-4444 |
Dr. Steven D Holmstrom, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 | |
Canyon Lake Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 Fax: 951-244-1414 | |
Dr. Mary Lucinda Demoss, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 Fax: 951-244-1414 | |
Steven D. Holmstrom, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 Fax: 951-244-1414 |