Mrs Livia Speare Galli Rasmussen, OD, MS | |
940 Sylva Ln Ste H, Sonora, CA 95370-5969 | |
(209) 532-4123 | |
(209) 532-6749 |
Full Name | Mrs Livia Speare Galli Rasmussen |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 940 Sylva Ln Ste H, Sonora, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417618117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 35195TLG (California) | Primary |
Provider Name | M A C T Health Board Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20040305001143 |
Mailing Address | Practice Location Address |
---|---|
Mrs Livia Speare Galli Rasmussen, OD, MS Po Box 1184, San Andreas, CA 95249-1184 Ph: () - | Mrs Livia Speare Galli Rasmussen, OD, MS 940 Sylva Ln Ste H, Sonora, CA 95370-5969 Ph: (209) 532-4123 |
M A C T Health Board, Incorporated Optometrist Medicare: Medicare Enrolled Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-754-6262 | |
Victor F. Child, An Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 14550 Mono Way, Sonora, CA 95370 Phone: 209-532-7192 Fax: 209-532-5836 | |
James Laffin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-532-4123 | |
Dr. Russell Norman Cotteral, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-532-4132 Fax: 209-532-6749 | |
Sierra Vista Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-532-4123 | |
Dr. Wallace T Stuart, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 48 S Stewart St, Sonora, CA 95370 Phone: 209-532-5421 |