Mckinleyville Optometric Center | |
1933 Central Ave Ste A, Mckinleyville, CA 95519-3668 | |
(707) 839-2828 | |
(707) 839-3715 |
Full Name | Mckinleyville Optometric Center |
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Type | Facility |
Speciality | Optometrist |
Location | 1933 Central Ave Ste A, Mckinleyville, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184809501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 9697T (California) | Primary |
Provider Name | Phillip Ruprecht |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851440713 PECOS PAC ID: 2567572233 Enrollment ID: I20120404000113 |
Provider Name | Lori Andra Macfarlane |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356490130 PECOS PAC ID: 4284744830 Enrollment ID: I20120418000665 |
Mailing Address | Practice Location Address |
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Mckinleyville Optometric Center 1933 Central Ave Ste A, Mckinleyville, CA 95519-3668 Ph: (707) 839-2828 | Mckinleyville Optometric Center 1933 Central Ave Ste A, Mckinleyville, CA 95519-3668 Ph: (707) 839-2828 |
Dr. Lori Andra Macfarlane, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1933 Central Ave Ste A, Mckinleyville, CA 95519 Phone: 707-839-2828 Fax: 707-839-3715 | |
Dr. Phillip K Ruprecht, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1933 Central Ave Ste A, Mckinleyville, CA 95519 Phone: 707-839-2828 Fax: 707-839-3715 |