Corben Optometry Inc | |
23206 Lyons Ave Ste 102, Newhall, CA 91321-2671 | |
(661) 259-2168 | |
(661) 259-3568 |
Full Name | Corben Optometry Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 23206 Lyons Ave Ste 102, Newhall, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801910096 | NPI | - | NPPES |
1912011560 | Other | CA | NPI |
1043297666 | Other | CA | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4954T (California) | Primary |
Provider Name | Michael A Corben |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043297666 PECOS PAC ID: 2567543937 Enrollment ID: I20080111000476 |
Provider Name | Joshua A Corben |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912011560 PECOS PAC ID: 2668553686 Enrollment ID: I20080116000323 |
Provider Name | Sheila Tehrani |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073814976 PECOS PAC ID: 8325361173 Enrollment ID: I20141230002712 |
Provider Name | Kyle Robert Brewer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811329824 PECOS PAC ID: 0749406114 Enrollment ID: I20170505001726 |
Mailing Address | Practice Location Address |
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Corben Optometry Inc 23206 Lyons Ave Ste 102, Newhall, CA 91321-2671 Ph: (661) 259-2168 | Corben Optometry Inc 23206 Lyons Ave Ste 102, Newhall, CA 91321-2671 Ph: (661) 259-2168 |
Dr. Michael A Corben, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 23206 Lyons Ave, Suite 102, Newhall, CA 91321 Phone: 661-259-2168 | |
Wink Optometry Of Westlake Optometrist Medicare: Medicare Enrolled Practice Location: 23206 Lyons Ave Ste 102, Newhall, CA 91321 Phone: 661-904-7896 | |
Dr. Joshua Adam Corben, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 23206 Lyons Ave, Suite 102, Newhall, CA 91321 Phone: 661-259-2168 Fax: 661-259-3568 |