Miller Mia L Gen Ptr | |
180 El Cerrito Plaza, El Cerrito, CA 94530 | |
(510) 526-2242 | |
(510) 526-2748 |
Full Name | Miller Mia L Gen Ptr |
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Type | Facility |
Speciality | Optometrist |
Location | 180 El Cerrito Plaza, El Cerrito, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992757819 | NPI | - | NPPES |
GS0001090 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT7996T (California) | Primary |
152W00000X | Optometrist | OPT8866T (California) | Secondary |
Provider Name | Hitomi Ezumi |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447692462 PECOS PAC ID: 2567606189 Enrollment ID: I20161014000694 |
Mailing Address | Practice Location Address |
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Miller Mia L Gen Ptr 180 El Cerrito Plaza, El Cerrito, CA 94530 Ph: (510) 526-2242 | Miller Mia L Gen Ptr 180 El Cerrito Plaza, El Cerrito, CA 94530 Ph: (510) 526-2242 |
Dr. Mia Lauren Miller, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 180 El Cerrito Plz, El Cerrito, CA 94530 Phone: 510-526-2242 Fax: 510-526-2748 | |
Dr. Rahul Laxman Keswani, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11780 San Pablo Ave Ste B, El Cerrito, CA 94530 Phone: 510-234-1730 Fax: 510-234-8841 | |
Shalini Samat, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6500 Fairmount Ave, Suite 2, El Cerrito, CA 94530 Phone: 510-525-2600 | |
Dr. Cameron Ann Mitchell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2229 Spyglass Ln, El Cerrito, CA 94530 Phone: 510-232-3780 | |
Patricia Le, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6500 Fairmount Ave, Ste 2, El Cerrito, CA 94530 Phone: 888-690-4676 | |
Fifth Optometric Care Of California Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11780 San Pablo Ave Ste B, El Cerrito, CA 94530 Phone: 510-234-1730 | |
Gerald John Garrels Ii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11780 San Pablo Ave Ste B, El Cerrito, CA 94530 Phone: 510-234-1730 |