Dr Peter Raymond Col, OD is a
Optometrist based in Pine Grove, California. Dr Peter Raymond Col is licensed to practice in California (license number OPT 6634 TPG) and his current practice location is
13828 Gold Mine Rd Ste 2, Pine Grove, California. He can be reached at his office (for appointments etc.) via phone at
(209) 296-5565.
NPI number for Dr Peter Raymond Col is 1528156015 and his current mailing address is Po Box 730, Pine Grove, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528156015.
Healthcare Provider's Profile
| Full Name | Dr Peter Raymond Col |
|---|
| Gender | Male |
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| Speciality | Optometrist |
|---|
| Location | 13828 Gold Mine Rd Ste 2, Pine Grove, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528156015
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Peter Raymond Col such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528156015 | NPI | - | NPPES |
| SD0066340 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT 6634 TPG (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Raymond Col is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Peter Raymond Col, OD
Po Box 730,
Pine Grove, CA 95665-0730
Ph: (209) 296-5565 | Dr Peter Raymond Col, OD
13828 Gold Mine Rd Ste 2,
Pine Grove, CA 95665-9494
Ph: (209) 296-5565 |
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