Dr Ekaterina Golub, OD | |
11260 White Rock Rd, Rancho Cordova, CA 95742-6571 | |
(916) 724-2265 | |
Not Available |
Full Name | Dr Ekaterina Golub |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 11260 White Rock Rd, Rancho Cordova, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265168223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 35340 (California) | Primary |
Provider Name | Greenhaven Optometry |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639426273 PECOS PAC ID: 2769628460 Enrollment ID: O20130514000331 |
Mailing Address | Practice Location Address |
---|---|
Dr Ekaterina Golub, OD 11260 White Rock Rd, Rancho Cordova, CA 95742-6571 Ph: (916) 724-2265 | Dr Ekaterina Golub, OD 11260 White Rock Rd, Rancho Cordova, CA 95742-6571 Ph: (916) 724-2265 |
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