| |
1773 San Pablo Ave Ste A1, Pinole, CA 94564-2084 | |
(510) 222-3020 | |
(510) 222-9020 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1773 San Pablo Ave Ste A1, Pinole, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053922005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Nazak Mozaffarieh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699710988 PECOS PAC ID: 5294746962 Enrollment ID: I20060509000566 |
Mailing Address | Practice Location Address |
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1773 San Pablo Ave Ste A1, Pinole, CA 94564-2084 Ph: (510) 222-3020 | 1773 San Pablo Ave Ste A1, Pinole, CA 94564-2084 Ph: (510) 222-3020 |
First Optometric Care Of Northern California Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2704 Pinole Valley Rd, Pinole, CA 94564 Phone: 510-369-0092 Fax: 510-222-2161 | |
Young Choi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1420 Tara Hills Dr Ste D, Pinole, CA 94564 Phone: 510-724-1768 | |
David Walter Tam, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1660 San Pablo Ave, Ste 200, Pinole, CA 94564 Phone: 510-964-7816 Fax: 510-964-7831 | |
Emily Choh, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1420 Tara Hills Dr, Pinole, CA 94564 Phone: 510-724-1768 | |
Gloria E. Waite, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1773 San Pablo Ave., #a1, Pinole, CA 94564 Phone: 510-724-6520 Fax: 510-724-7094 | |