Jeannie Situ, OD | |
12234 Palmdale Rd, Victorville, CA 92392-9418 | |
(760) 843-9752 | |
Not Available |
Full Name | Jeannie Situ |
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Gender | Female |
Speciality | Optometrist |
Location | 12234 Palmdale Rd, Victorville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528558269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 33921TLG (California) | Primary |
Provider Name | Jeannie Situ, O.d., Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720564958 PECOS PAC ID: 6507191574 Enrollment ID: O20190712001402 |
Mailing Address | Practice Location Address |
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Jeannie Situ, OD 12234 Palmdale Rd, Victorville, CA 92392-9418 Ph: () - | Jeannie Situ, OD 12234 Palmdale Rd, Victorville, CA 92392-9418 Ph: (760) 843-9752 |
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