Gagnon Vision Medical Group Inc | |
28 Fenton St, Livermore, CA 94550-4144 | |
(925) 449-4000 | |
Not Available |
Full Name | Gagnon Vision Medical Group Inc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 28 Fenton St, Livermore, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588091367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Nicole Helen Lee |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093857591 PECOS PAC ID: 1759349582 Enrollment ID: I20041228000165 |
Provider Name | Kala Swamynathan |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427029768 PECOS PAC ID: 3678527157 Enrollment ID: I20050308000655 |
Provider Name | Michael R Gagnon |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164525598 PECOS PAC ID: 4183650146 Enrollment ID: I20070828001077 |
Provider Name | Coni L Bloomingcamp |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609943398 PECOS PAC ID: 7911090105 Enrollment ID: I20070904000494 |
Provider Name | Gina M Trentacosti |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295733939 PECOS PAC ID: 2365595311 Enrollment ID: I20090808000079 |
Provider Name | Laura E Schrupp |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013243807 PECOS PAC ID: 3577745538 Enrollment ID: I20110311000503 |
Provider Name | Anhdao T Le |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952437154 PECOS PAC ID: 4183873417 Enrollment ID: I20121002000586 |
Provider Name | Cynthia Barbara Huang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407435373 PECOS PAC ID: 8729469879 Enrollment ID: I20220720001734 |
Provider Name | Lorraine Yeung |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982379780 PECOS PAC ID: 5597147280 Enrollment ID: I20220727002597 |
Mailing Address | Practice Location Address |
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Gagnon Vision Medical Group Inc 5575 W Las Positas Blvd, Suite 240, Pleasanton, CA 94588-5801 Ph: (925) 460-5000 | Gagnon Vision Medical Group Inc 28 Fenton St, Livermore, CA 94550-4144 Ph: (925) 449-4000 |