Dr Riolan Marbun, OD | |
1288 Camino Del Rio N, San Diego, CA 92108-1511 | |
(619) 500-6688 | |
(619) 500-6689 |
Full Name | Dr Riolan Marbun |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1288 Camino Del Rio N, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053476788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 13678 (California) | Secondary |
152W00000X | Optometrist | 13678 (California) | Primary |
Provider Name | Dr Riolan Marbun Od Professional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942489547 PECOS PAC ID: 8628478641 Enrollment ID: O20210614001614 |
Mailing Address | Practice Location Address |
---|---|
Dr Riolan Marbun, OD Po Box 91519, San Diego, CA 92169-3519 Ph: (615) 604-6101 | Dr Riolan Marbun, OD 1288 Camino Del Rio N, San Diego, CA 92108-1511 Ph: (619) 500-6688 |
Dr. Dora Doan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Optometry Department, San Diego, CA 92105 Phone: 619-961-0803 Fax: 619-269-1257 | |
Allen Chung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9460 Mira Mesa Blvd Ste A, San Diego, CA 92126 Phone: 858-566-1756 Fax: 858-566-1845 | |
Hoang Minh Ho, O.d, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4840 Shawline St, San Diego, CA 92111 Phone: 858-560-5742 | |
Loan Yen Huynh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5175 Waring Rd, San Diego, CA 92120 Phone: 619-583-1000 | |
Brenda J Swiderski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6945 El Cajon Blvd, San Diego, CA 92115 Phone: 619-697-4600 Fax: 619-464-5526 | |
Dr. Lori Johnson Bende, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4009 Governor Dr, San Diego, CA 92122 Phone: 858-453-0444 | |
Dr. Lisa M Galstian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7770 Regents Rd, Suite 104, San Diego, CA 92122 Phone: 858-546-1940 Fax: 858-546-0940 |