| Lakeville Eye Care | |
|
855 Lakeville St, Suite 102, Petaluma, CA 94952-7327 | |
| (707) 763-1423 | |
| (707) 981-4582 |
| Full Name | Lakeville Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 855 Lakeville St, Petaluma, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033410014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6321 (California) | Primary |
| 332H00000X | Eyewear Supplier | 6321 (California) | Secondary |
| Provider Name | Gerald T Pittler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699708727 PECOS PAC ID: 5395760730 Enrollment ID: I20051013000969 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeville Eye Care 855 Lakeville St, Suite 102, Petaluma, CA 94952-7327 Ph: (707) 763-1423 | Lakeville Eye Care 855 Lakeville St, Suite 102, Petaluma, CA 94952-7327 Ph: (707) 763-1423 |
Dr. Marques Joseph Bostic, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7707 | |
Dr. Richard B Boyle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1390 N Mcdowell Blvd Ste F, Petaluma, CA 94954 Phone: 707-795-7433 Fax: 707-795-7359 | |
Gordon Miles Wong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 66 E Washington St, Petaluma, CA 94952 Phone: 707-778-1048 Fax: 707-778-0113 | |
Dr. Ronald Lee Harris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1225 North Mcdowell Blvd., Petaluma, CA 94954 Phone: 707-763-2020 Fax: 707-763-4735 | |
Liana Yungay Lam, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3930 | |
Dr. Richard Cole Aston, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 345b S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-778-1961 Fax: 707-778-1369 |