Dr Larry M Dedonato, OD | |
1429 Main St, Delano, CA 93215-1726 | |
(661) 725-9771 | |
(661) 725-2403 |
Full Name | Dr Larry M Dedonato |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1429 Main St, Delano, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447216221 | NPI | - | NPPES |
SD0064290 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT6429T (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Larry M Dedonato, OD 1429 Main St, Delano, CA 93215-1726 Ph: (661) 725-9771 | Dr Larry M Dedonato, OD 1429 Main St, Delano, CA 93215-1726 Ph: (661) 725-9771 |
Dr. Mark J Park, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 919 13th Ave, Delano, CA 93215 Phone: 661-725-3795 Fax: 661-725-3797 | |
Dr. Lori Ann Kucia-park, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 919 13th Avenue, Delano, CA 93215 Phone: 661-725-3795 Fax: 661-725-3797 |