Dr Gregory A Boomer, | |
607 A Cottage St, Susanville, CA 96130-4303 | |
(530) 257-4424 | |
(530) 257-9626 |
Full Name | Dr Gregory A Boomer |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 607 A Cottage St, Susanville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326110354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6622T (California) | Primary |
Mailing Address | Practice Location Address |
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Dr Gregory A Boomer, 607 A Cottage St, Susanville, CA 96130-4303 Ph: (530) 257-4424 | Dr Gregory A Boomer, 607 A Cottage St, Susanville, CA 96130-4303 Ph: (530) 257-4424 |
Legacy Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 600 Ash St, Susanville, CA 96130 Phone: 530-257-4424 Fax: 530-237-0426 | |
Dr. Martin G Hlusak, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 914 Main St, Susanville, CA 96130 Phone: 530-257-2225 Fax: 530-257-2225 | |
Richard Marason, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 600 Ash St, Susanville, CA 96130 Phone: 530-257-3636 Fax: 530-257-7194 |