Dr John Edward Fagan Jr, OD | |
20231 W Valley Blvd, Suite G, Tehachapi, CA 93561-6748 | |
(661) 822-1212 | |
(661) 822-3296 |
Full Name | Dr John Edward Fagan Jr |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 40 Years |
Location | 20231 W Valley Blvd, Tehachapi, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255324042 | NPI | - | NPPES |
BL893 | Medicaid | CA | |
1619129921 | Other | CA | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 7946T (California) | Primary |
152W00000X | Optometrist | 1688 (Oregon) | Secondary |
Provider Name | Dr John E Fagan Optometrist Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619129921 PECOS PAC ID: 0749347672 Enrollment ID: O20090320000387 |
Mailing Address | Practice Location Address |
---|---|
Dr John Edward Fagan Jr, OD 20231 W Valley Blvd, Suite G, Tehachapi, CA 93561-6748 Ph: (661) 822-1212 | Dr John Edward Fagan Jr, OD 20231 W Valley Blvd, Suite G, Tehachapi, CA 93561-6748 Ph: (661) 822-1212 |
Dr. John E. Fagan Optometrist Medicare: Medicare Enrolled Practice Location: 20231 W Valley Blvd, Suite G, Tehachapi, CA 93561 Phone: 661-822-1212 Fax: 661-822-3296 | |
Dr. Boyd F Young, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20131 W Valley Blvd, Tehachapi, CA 93561 Phone: 661-822-6886 | |
Dale A. Young, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20231 W Valley Blvd Ste G, Tehachapi, CA 93561 Phone: 661-822-1212 |