Dr Robert B Dirksen, OD | |
3855 Broad Street, Suite B, San Luis Obispo, CA 93401 | |
(805) 545-7881 | |
(805) 548-8785 |
Full Name | Dr Robert B Dirksen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 22 Years |
Location | 3855 Broad Street, San Luis Obispo, 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 |
---|---|---|---|
1174669899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12172 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacific Eye Surgeons A California Professional Medical Corporation | 7810947397 | 14 |
Provider Name | Pacific Eye Surgeons A California Professional Medical Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548262751 PECOS PAC ID: 7810947397 Enrollment ID: O20050124000636 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert B Dirksen, OD Po Box 5357, San Luis Obispo, CA 93403-5357 Ph: (805) 545-7881 | Dr Robert B Dirksen, OD 3855 Broad Street, Suite B, San Luis Obispo, CA 93401 Ph: (805) 545-7881 |
Primary Eyecare Center, An Optometric Practice Optometrist Medicare: Medicare Enrolled Practice Location: 764 Santa Rosa St, San Luis Obispo, CA 93401 Phone: 805-543-1447 Fax: 805-543-4778 | |
Dr. Scot Anthony Class, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3855 Broad Street, Ste B, San Luis Obispo, CA 93401 Phone: 805-545-8100 Fax: 805-548-8785 | |
Mariah Sibal, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11990 Los Osos Valley Rd, San Luis Obispo, CA 93405 Phone: 805-858-9914 Fax: 805-316-4113 | |
Kimberly D Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 628 California Blvd, Ste D, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Dr. Charles Lee Tribbey, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 719 Higuera St, San Luis Obispo, CA 93401 Phone: 805-541-2333 Fax: 805-543-5795 | |
Elite Eyecare Medical Group A Medical Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 689 Tank Farm Rd Ste 100, San Luis Obispo, CA 93401 Phone: 805-781-3937 |