| Menifee Lakes Optometry | |
|
30141 Antelope Rd Ste G, Menifee, CA 92584-8066 | |
| (951) 679-6910 | |
| (951) 679-7452 |
| Full Name | Menifee Lakes Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 30141 Antelope Rd Ste G, Menifee, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710431416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 13632 (California) | Primary |
| Provider Name | Nicholas R Walworth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295980423 PECOS PAC ID: 6901936889 Enrollment ID: I20100621000300 |
| Provider Name | Sarah Samaradivakara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871255406 PECOS PAC ID: 9234527284 Enrollment ID: I20211025003173 |
| Mailing Address | Practice Location Address |
|---|---|
| Menifee Lakes Optometry 30141 Antelope Rd Ste G, Menifee, CA 92584-8066 Ph: (951) 679-6910 | Menifee Lakes Optometry 30141 Antelope Rd Ste G, Menifee, CA 92584-8066 Ph: (951) 679-6910 |
Sun City Optometry A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Menifee, CA 92586 Phone: 951-672-4971 | |
Jinghui Zhang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 30080 Haun Rd Spc P2, Menifee, CA 92584 Phone: 951-301-4248 Fax: 951-679-5830 | |
Dr. Jessica Michael Tadros, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 29826 Haun Rd, Suite 100, Menifee, CA 92586 Phone: 951-301-8888 Fax: 951-301-4137 | |
Dr. Nicholas Roy Walworth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30141 Antelope Rd Ste G, Menifee, CA 92584 Phone: 951-679-6910 | |
Armand Nestor Domingo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 30080 Haun Rd Spc 2, Menifee, CA 92584 Phone: 951-301-4248 | |
Kurt Allen Lundquist, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 30107 Haun Rd, Menifee, CA 92584 Phone: 951-434-6291 Fax: 951-672-2137 | |
Dr. Joseph Allan Pruitt, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 26025 Newport Rd, Ste. F #455, Menifee, CA 92584 Phone: 651-395-7585 Fax: 651-395-7585 |