Kendall Optometry | |
425 W Central Ave Ste 102, Lompoc, CA 93436 | |
(805) 736-2020 | |
(805) 737-1733 |
Full Name | Kendall Optometry |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 425 W Central Ave Ste 102, Lompoc, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437117231 | NPI | - | NPPES |
ZZZ61060Z | Other | CA | BLUE SHIELD OF CA |
GR0086920 | Medicaid | CA | |
GSD004611 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
Provider Name | Kenneth R Kendall |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700889532 PECOS PAC ID: 6406806207 Enrollment ID: I20050128000944 |
Provider Name | Peter N Brudner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811990633 PECOS PAC ID: 3577513373 Enrollment ID: I20050128000950 |
Provider Name | Randall L Goodman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891788436 PECOS PAC ID: 9537198197 Enrollment ID: I20050804000722 |
Provider Name | Tiffany Smart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619948304 PECOS PAC ID: 6204935588 Enrollment ID: I20070627000456 |
Provider Name | Daniel P Shepard |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003819863 PECOS PAC ID: 9638253305 Enrollment ID: I20080220000343 |
Provider Name | Ragui W Sedeek |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306993571 PECOS PAC ID: 9234297235 Enrollment ID: I20081020000638 |
Provider Name | Pamela R Golchet |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578774899 PECOS PAC ID: 9638252117 Enrollment ID: I20081112000853 |
Provider Name | William Pimienta |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477588127 PECOS PAC ID: 2264595115 Enrollment ID: I20090120000530 |
Provider Name | Shahriar Rami Zarnegar |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790788008 PECOS PAC ID: 0042260846 Enrollment ID: I20110203000460 |
Provider Name | Stephen Scott Bylsma |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1265435325 PECOS PAC ID: 8224088026 Enrollment ID: I20110203000495 |
Provider Name | James T Franta |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255334256 PECOS PAC ID: 5496935181 Enrollment ID: I20110214000099 |
Provider Name | Michael Young |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063458727 PECOS PAC ID: 6305955014 Enrollment ID: I20111201000206 |
Provider Name | Dennis Bales |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477528099 PECOS PAC ID: 2163532037 Enrollment ID: I20120703000074 |
Provider Name | Timothy E Nelson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518994235 PECOS PAC ID: 0446578066 Enrollment ID: I20150410002301 |
Provider Name | Sally E Melendez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770951048 PECOS PAC ID: 0840571154 Enrollment ID: I20161228001696 |
Provider Name | Jennifer Hua |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215384532 PECOS PAC ID: 5193093235 Enrollment ID: I20170614002071 |
Provider Name | Daniel R Agarwal |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811230766 PECOS PAC ID: 8820365851 Enrollment ID: I20200729002573 |
Provider Name | David Earl Bowin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487271243 PECOS PAC ID: 9739580960 Enrollment ID: I20210625001242 |
Provider Name | Daniel Christensen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720602543 PECOS PAC ID: 2860819232 Enrollment ID: I20210917001563 |
Provider Name | Jason Daniel Bunker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568133692 PECOS PAC ID: 5092104539 Enrollment ID: I20211122002918 |
Provider Name | Leia Michelle Dumlao Ballesteros |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205557550 PECOS PAC ID: 4880060953 Enrollment ID: I20221013002669 |
Provider Name | Mahnoor Shahzad |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467217463 PECOS PAC ID: 4981042967 Enrollment ID: I20240410001102 |
Mailing Address | Practice Location Address |
---|---|
Kendall Optometry 910 E Stowell Rd, Santa Maria, CA 93454-7001 Ph: (805) 925-2637 | Kendall Optometry 425 W Central Ave Ste 102, Lompoc, CA 93436 Ph: (805) 736-2020 |
Kleen Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826 | |
Daniel R. Taketa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 E Ocean Ave, Lompoc, CA 93436 Phone: 805-736-7010 Fax: 805-736-7589 | |
Pinhkeo Southaphanh O D Inc Optometrist Medicare: Medicare Enrolled Practice Location: 415 E Ocean Ave Ste B, Lompoc, CA 93436 Phone: 805-819-0742 Fax: 805-741-7367 | |
Clear Vision Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 E Ocean Ave Ste B, Lompoc, CA 93436 Phone: 805-819-0742 Fax: 805-741-7367 | |
Dr. Steven Matthew Kleen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826 | |
Dr. David Earl Bowin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 W Central Ave, Lompoc, CA 93436 Phone: 805-736-2020 |