Dr Peter V Hetzner, OD | |
421 S Ham Ln, Ste B, Lodi, CA 95242-3523 | |
(209) 368-5352 | |
(209) 368-5355 |
Full Name | Dr Peter V Hetzner |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 421 S Ham Ln, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346221512 | NPI | - | NPPES |
ZZZ28009Z | Other | CA | BLUE SHIELD |
0622870001 | Other | CA | CIGNA MEDICARE |
SD0056920 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5692TPA (California) | Primary |
Provider Name | Zeiter Eye Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730195173 PECOS PAC ID: 8527018316 Enrollment ID: O20050128000910 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter V Hetzner, OD 421 S Ham Ln, Ste B, Lodi, CA 95242-3523 Ph: (209) 368-5352 | Dr Peter V Hetzner, OD 421 S Ham Ln, Ste B, Lodi, CA 95242-3523 Ph: (209) 368-5352 |
Dr. Floyd Ellis Zastrow, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 W Pine St, Lodi, CA 95240 Phone: 209-369-2078 | |
Krishna Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 S Ham Ln Ste A, Lodi, CA 95242 Phone: 209-461-2168 | |
Dr. Lien Thi Kim Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 400 E Kettleman Ln, Suite #18, Lodi, CA 95240 Phone: 209-333-2221 Fax: 209-333-7771 | |
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2350 W Kettleman Ln, Lodi, CA 95242 Phone: 209-368-9660 Fax: 209-334-6557 | |
Advanced Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1210 W Tokay St, Lodi, CA 95240 Phone: 209-334-2626 Fax: 209-334-0710 | |
Dr. William C Henshaw, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 801 S Fairmont Ave Ste 5, Lodi, CA 95240 Phone: 209-334-2020 Fax: 209-333-2015 | |
Dr. Kelsey Anne Price, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 441 S Ham Ln, Ste B, Lodi, CA 95242 Phone: 209-224-5454 |