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1165 Coast Village Rd Ste L, Montecito, CA 93108-0748 | |
(805) 565-5073 | |
(805) 565-5075 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1165 Coast Village Rd Ste L, Montecito, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255819934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 14606 (California) | Primary |
Provider Name | Rene Stevens |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245268242 PECOS PAC ID: 7911077417 Enrollment ID: I20080609000916 |
Provider Name | Gary Frank Strickland |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053635201 PECOS PAC ID: 1951431006 Enrollment ID: I20131217002019 |
Provider Name | Carter Keith Andersen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427344142 PECOS PAC ID: 5698031128 Enrollment ID: I20171117000971 |
Mailing Address | Practice Location Address |
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1165 Coast Village Rd Ste L, Montecito, CA 93108-0748 Ph: (805) 565-5073 | 1165 Coast Village Rd Ste L, Montecito, CA 93108-0748 Ph: (805) 565-5073 |