Dr Jeffrey C Kossol, OD | |
9372 Deschutes Rd, Palo Cedro, CA 96073-9763 | |
(530) 547-2020 | |
(530) 547-2101 |
Full Name | Dr Jeffrey C Kossol |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 9372 Deschutes Rd, Palo Cedro, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629053541 | NPI | - | NPPES |
SD0072491 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT 7249 TPL (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey C Kossol, OD 9372 Deschutes Rd, Palo Cedro, CA 96073-9763 Ph: (530) 547-2020 | Dr Jeffrey C Kossol, OD 9372 Deschutes Rd, Palo Cedro, CA 96073-9763 Ph: (530) 547-2020 |
Palo Cedro Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9372 Deschutes Rd, Palo Cedro, CA 96073 Phone: 530-547-2020 Fax: 530-547-2101 | |
Palo Cedro Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9372 Deschutes Rd, Palo Cedro, CA 96073 Phone: 530-547-2020 Fax: 530-547-2101 |