| Dr Sanaz Stacy Aboutalebi-simon, OD | |
|
3400 Delta Fair Blvd, The Permanente Medical Group, Inc., Antioch, CA 94509-4004 | |
| (925) 779-5223 | |
| (925) 779-5421 |
| Full Name | Dr Sanaz Stacy Aboutalebi-simon |
|---|---|
| Gender | Female |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 3400 Delta Fair Blvd, Antioch, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033319215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 12259T (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sanaz Stacy Aboutalebi-simon, OD 2640 Buena Vista Ave, Walnut Creek, CA 94597-2502 Ph: (925) 726-9711 | Dr Sanaz Stacy Aboutalebi-simon, OD 3400 Delta Fair Blvd, The Permanente Medical Group, Inc., Antioch, CA 94509-4004 Ph: (925) 779-5223 |
Mary Leong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-3280 | |
Dr. Garret Bruce Louie, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2225 Buchanan Rd, Suite B, Antioch, CA 94509 Phone: 925-757-6707 | |
Family Optometric Vision Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5163 Lone Tree Way, Antioch, CA 94531 Phone: 925-757-5560 Fax: 925-757-5577 | |
Diablo Valley Optometric Group Optometrist Medicare: Medicare Enrolled Practice Location: 3700 Sunset Ln, Suite 4, Antioch, CA 94509 Phone: 925-757-0450 Fax: 925-757-0266 | |
Eye To Eye Optometry Group Optometrist Medicare: Medicare Enrolled Practice Location: 4051 Lone Tree Way Ste E, Antioch, CA 94531 Phone: 925-757-7676 Fax: 925-281-2801 | |
Dr. Valerie Anuli Okakpu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5009 Lone Tree Way Ste A, Antioch, CA 94531 Phone: 925-757-0450 |