Eyecare Of San Diego | |
3939 3rd Ave, San Diego, CA 92103-3002 | |
(619) 296-8525 | |
(619) 692-0229 |
Full Name | Eyecare Of San Diego |
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Type | Facility |
Speciality | Ophthalmology |
Location | 3939 3rd Ave, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366429441 | NPI | - | NPPES |
GR0092690 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Asa D Morton |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1780669283 PECOS PAC ID: 6204873235 Enrollment ID: I20050412000522 |
Provider Name | Neil T Choplin |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1144205642 PECOS PAC ID: 4486692043 Enrollment ID: I20050422001043 |
Provider Name | Sara Julazadeh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952592768 PECOS PAC ID: 9436230729 Enrollment ID: I20080111000632 |
Provider Name | John Edward Bokosky |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1245215748 PECOS PAC ID: 2769454230 Enrollment ID: I20080328000761 |
Provider Name | Philip Taunton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871570945 PECOS PAC ID: 4880738467 Enrollment ID: I20100219000695 |
Provider Name | Thomas James Avallone |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1679865950 PECOS PAC ID: 2860760386 Enrollment ID: I20170623002078 |
Mailing Address | Practice Location Address |
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Eyecare Of San Diego 3939 3rd Ave, San Diego, CA 92103-3002 Ph: (619) 296-8525 | Eyecare Of San Diego 3939 3rd Ave, San Diego, CA 92103-3002 Ph: (619) 296-8525 |