Elysia Ison, OD | |
Us Hwy 491 North, Shiprock, NM 87420 | |
(505) 368-6001 | |
Not Available |
Full Name | Elysia Ison |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | Us Hwy 491 North, Shiprock, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467944041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 34112TLG (California) | Primary |
152W00000X | Optometrist | OPT.0003406 (Colorado) | Secondary |
Provider Name | Dhhs Phs Naihs Shiprock Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
---|---|
Elysia Ison, OD 825 Pollard Rd, Ste 208, Los Gatos, CA 95032-1435 Ph: (505) 368-6001 | Elysia Ison, OD Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
John D Fugate, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491north, Northern Navajo Medical Center, Shiprock, NM 87420 Phone: 505-368-7038 | |
Shannon H Lee, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Hwy 491 North, Northern Navajo Medical Center Optometry Dept, Shiprock, NM 87420 Phone: 505-368-6001 | |
Kia Yang, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7411 | |
Leslie A Meyer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Us Highway 491 North, Shiprock, NM 87420 Phone: 505-368-7115 | |
Anjali Nicole Paramanandam, OD Optometrist Medicare: Medicare Enrolled Practice Location: Us-491, Shiprock, NM 87420 Phone: 505-368-6001 | |
Ryan August Peine, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 |