| James R. Dallas, O.d. | |
|
1356 E Main St, #a, Barstow, CA 92311-3220 | |
| (760) 256-8014 | |
| Not Available |
| Full Name | James R. Dallas, O.d. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1356 E Main St, Barstow, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407885585 | NPI | - | NPPES |
| GSD003190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | James R Dallas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215967658 PECOS PAC ID: 1456433986 Enrollment ID: I20080123000507 |
| Provider Name | Kenneth Bracken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356652622 PECOS PAC ID: 9436342821 Enrollment ID: I20101018000973 |
| Provider Name | Jennifer Larie Renard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699183061 PECOS PAC ID: 0143440552 Enrollment ID: I20161107001395 |
| Mailing Address | Practice Location Address |
|---|---|
| James R. Dallas, O.d. 1356 E Main St, #a, Barstow, CA 92311-3220 Ph: (760) 256-8014 | James R. Dallas, O.d. 1356 E Main St, #a, Barstow, CA 92311-3220 Ph: (760) 256-8014 |
Richard Kennedy, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 945 Armory Rd Ste C, Barstow, CA 92311 Phone: 760-252-7518 Fax: 760-252-7510 | |
James Ronald Dallas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1356 -- A East Main St., Barstow, CA 92311 Phone: 760-256-8014 | |
Kenneth Bracken, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1356 E Main St Ste A, Barstow, CA 92311 Phone: 760-256-8014 | |
Cya Optometry Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 945 Armory Rd Ste C, Barstow, CA 92311 Phone: 760-252-7518 Fax: 760-252-7510 | |
Michael David Allen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1356 E Main St Ste A, Barstow, CA 92311 Phone: 760-256-8014 Fax: 760-256-8568 | |
Jason Michael Drobeck, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1356 A. East Main St., Barstow, CA 92311 Phone: 760-256-8014 Fax: 760-256-8568 |