Miramar Eye Specialists Medical Group | |
3085 Loma Vista Rd, Ventura, CA 93003-2916 | |
(805) 583-3950 | |
(805) 584-2477 |
Full Name | Miramar Eye Specialists Medical Group |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3085 Loma Vista Rd, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992746382 | NPI | - | NPPES |
ZZZ51212Z | Other | CA | BLUE SHIELD |
CI5426 | Other | CA | RAILROAD MEDICARE |
110369658 | Other | CA | CHAMPUS |
GR0076890 | Medicaid | CA | |
205153800 | Other | CA | US DEPT. OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Daniel A Ebroon |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1023050655 PECOS PAC ID: 3072400290 Enrollment ID: I20040311000961 |
Provider Name | Joel M Corwin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1518901651 PECOS PAC ID: 3476440694 Enrollment ID: I20040920000573 |
Provider Name | John L Davidson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205870748 PECOS PAC ID: 8628965845 Enrollment ID: I20040920000712 |
Provider Name | Stephen G Langsford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760529275 PECOS PAC ID: 8729014642 Enrollment ID: I20050712001092 |
Provider Name | Tunghi Thi Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649201518 PECOS PAC ID: 6204858889 Enrollment ID: I20051222000762 |
Provider Name | Leon G Partamian |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1700808904 PECOS PAC ID: 2860416096 Enrollment ID: I20060114000109 |
Provider Name | Noelene K Pang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396927729 PECOS PAC ID: 2567545924 Enrollment ID: I20080208000350 |
Provider Name | Anya Trumler-sebring |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487774949 PECOS PAC ID: 4486708955 Enrollment ID: I20090818000509 |
Provider Name | Mark Allen Brunette |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538105846 PECOS PAC ID: 4385778323 Enrollment ID: I20100812001073 |
Provider Name | Michael B Boggs |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447287503 PECOS PAC ID: 3577688712 Enrollment ID: I20100913000216 |
Provider Name | William Louis Trotter |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447290515 PECOS PAC ID: 3173658952 Enrollment ID: I20100922000219 |
Provider Name | George S Hoffman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689869356 PECOS PAC ID: 5294726139 Enrollment ID: I20101027001223 |
Provider Name | Roy T Butera |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730205337 PECOS PAC ID: 1951298173 Enrollment ID: I20101102000506 |
Provider Name | Devin Hymas |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538383864 PECOS PAC ID: 6800921685 Enrollment ID: I20101102000971 |
Provider Name | Roberto Roizenblatt |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952564064 PECOS PAC ID: 3577741313 Enrollment ID: I20110628000010 |
Provider Name | John P Fang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467461574 PECOS PAC ID: 6800890260 Enrollment ID: I20110908001790 |
Provider Name | Karyn Teel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073771697 PECOS PAC ID: 9830241793 Enrollment ID: I20120514000459 |
Provider Name | Doanh C Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366895062 PECOS PAC ID: 5294022927 Enrollment ID: I20160923001814 |
Provider Name | John M. Ora |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124540489 PECOS PAC ID: 4688923162 Enrollment ID: I20180816000458 |
Provider Name | Terry Yu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346737467 PECOS PAC ID: 3072864602 Enrollment ID: I20180920003245 |
Provider Name | Alexander H De Castro-abeger |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902255367 PECOS PAC ID: 5092002394 Enrollment ID: I20210916003139 |
Provider Name | Vladislav Bekerman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1285138362 PECOS PAC ID: 8820477631 Enrollment ID: I20220624002674 |
Provider Name | Steven L Carter |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275038267 PECOS PAC ID: 8325470834 Enrollment ID: I20220707001958 |
Provider Name | Pegah Raven |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447560388 PECOS PAC ID: 1557540929 Enrollment ID: I20221013002581 |
Provider Name | Yara Chiha |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013632272 PECOS PAC ID: 2264809250 Enrollment ID: I20221103002560 |
Mailing Address | Practice Location Address |
---|---|
Miramar Eye Specialists Medical Group 3085 Loma Vista Rd, Ventura, CA 93003-2916 Ph: (805) 583-3950 | Miramar Eye Specialists Medical Group 3085 Loma Vista Rd, Ventura, CA 93003-2916 Ph: (805) 583-3950 |