| |
14435 N 7th St, Ste 104, Phoenix, AZ 85022-4371 | |
(602) 993-2727 | |
(602) 449-0681 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 14435 N 7th St, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003221185 | NPI | - | NPPES |
747561 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | AZ1210 (Arizona) | Primary |
Provider Name | Jesse V Dominguez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669789814 PECOS PAC ID: 8022293547 Enrollment ID: I20110427000588 |
Provider Name | Jacob Richard Bromley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992310312 PECOS PAC ID: 6608296579 Enrollment ID: I20201014001543 |
Mailing Address | Practice Location Address |
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14435 N 7th St, Ste 104, Phoenix, AZ 85022-4371 Ph: (602) 993-2727 | 14435 N 7th St, Ste 104, Phoenix, AZ 85022-4371 Ph: (602) 993-2727 |
Dr. Karly Baier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W Clarendon Ave Ste 150, Phoenix, AZ 85013 Phone: 602-283-4503 Fax: 844-965-9564 | |
Dr. Aleta Belinda Gong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16020 N 35th Ave, Phoenix, AZ 85053 Phone: 602-547-3255 | |
Dr. Lois Filipelli, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Abc Children's Eye Specialists, 1010 E Mcdowell Rd, Ste 301, Phoenix, AZ 85006 Phone: 602-222-2234 | |
Dr. Peter Rosenberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3415 W Glendale Ave, Building B, Suite 11, Phoenix, AZ 85051 Phone: 602-973-5868 Fax: 602-973-6076 |