Edmundo Fimbres Od Inc | |
915 Hilby Ave Ste 1, Seaside, CA 93955 | |
(831) 899-2020 | |
(831) 899-5504 |
Full Name | Edmundo Fimbres Od Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 915 Hilby Ave Ste 1, Seaside, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700381423 | NPI | - | NPPES |
152W00000X | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | GROOO1660 (California) | Primary |
Provider Name | Edmundo Charles Fimbres |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033199575 PECOS PAC ID: 2769729250 Enrollment ID: I20190122002197 |
Mailing Address | Practice Location Address |
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Edmundo Fimbres Od Inc 915 Hilby Ave Ste 1, Seaside, CA 93955-5359 Ph: () - | Edmundo Fimbres Od Inc 915 Hilby Ave Ste 1, Seaside, CA 93955 Ph: (831) 899-2020 |
Edmundo Charles Fimbres, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 915 Hilby Ave, Suite 1, Seaside, CA 93955 Phone: 831-899-2020 Fax: 831-899-5504 | |
Edmundo C. Fimbres, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 915 Hilby Ave, Suite 1, Seaside, CA 93955 Phone: 831-899-2020 |