Larkspur Optometry | |
3190 Churn Creek Rd, Redding, CA 96002-2122 | |
(530) 223-2500 | |
(530) 226-1375 |
Full Name | Larkspur Optometry |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3190 Churn Creek Rd, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346235603 | NPI | - | NPPES |
GR0084930 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Catherine Pham |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1760474159 PECOS PAC ID: 6709783525 Enrollment ID: I20031218000296 |
Provider Name | Nancy C Ekelund |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215910641 PECOS PAC ID: 7618958802 Enrollment ID: I20040526000396 |
Provider Name | Bryan G Crum |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902891385 PECOS PAC ID: 9537124086 Enrollment ID: I20041123000873 |
Provider Name | Christopher Nmi Lin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811982291 PECOS PAC ID: 9739180225 Enrollment ID: I20070212000602 |
Provider Name | Bruce E Silverstein |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255326476 PECOS PAC ID: 4789628611 Enrollment ID: I20070212000621 |
Provider Name | Robert G Trent |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114913761 PECOS PAC ID: 0648271130 Enrollment ID: I20070301000679 |
Provider Name | Harmohina Bagga |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306024104 PECOS PAC ID: 2668530692 Enrollment ID: I20081021000221 |
Provider Name | Tiffany Nichole Pena |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134324163 PECOS PAC ID: 4284726407 Enrollment ID: I20130305000202 |
Provider Name | Michael Sota Jitosho |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740767201 PECOS PAC ID: 0840538617 Enrollment ID: I20190222000355 |
Provider Name | Christopher B Myers |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1023088770 PECOS PAC ID: 8224920046 Enrollment ID: I20220705001389 |
Mailing Address | Practice Location Address |
---|---|
Larkspur Optometry Po Box 398986, San Francisco, CA 94139-5898 Ph: (530) 223-2500 | Larkspur Optometry 3190 Churn Creek Rd, Redding, CA 96002-2122 Ph: (530) 223-2500 |