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1270 Arroyo Way, Walnut Creek, CA 94596-4216 | |
(925) 945-8188 | |
(925) 945-0360 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1270 Arroyo Way, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720131055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | A29698 (California) | Primary |
Provider Name | Patricia L Austin |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790888196 PECOS PAC ID: 9032185616 Enrollment ID: I20040908000248 |
Provider Name | Stephen J Dentone |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811026552 PECOS PAC ID: 7214001676 Enrollment ID: I20080801000526 |
Provider Name | Rachel K Kaneta |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891072906 PECOS PAC ID: 4385951169 Enrollment ID: I20180613002838 |
Mailing Address | Practice Location Address |
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1270 Arroyo Way, Walnut Creek, CA 94596-4216 Ph: (925) 945-8188 | 1270 Arroyo Way, Walnut Creek, CA 94596-4216 Ph: (925) 945-8188 |