| Petaluma Eye Care Optometric Associates, Inc. | |
|
1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| (707) 763-2020 | |
| (707) 763-4735 |
| Full Name | Petaluma Eye Care Optometric Associates, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1225 N Mcdowell Blvd, Petaluma, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578990552 | NPI | - | NPPES |
| 7789740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 04916T (California) | Primary |
| Provider Name | Ronald L Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437159803 PECOS PAC ID: 8628025129 Enrollment ID: I20050406001109 |
| Provider Name | Michaela Chavez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083055750 PECOS PAC ID: 1658592589 Enrollment ID: I20141017002153 |
| Provider Name | Tina M Cheung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306213160 PECOS PAC ID: 2860701430 Enrollment ID: I20151021002558 |
| Provider Name | Marissa Diane Huang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861801177 PECOS PAC ID: 2365742384 Enrollment ID: I20160212001349 |
| Mailing Address | Practice Location Address |
|---|---|
| Petaluma Eye Care Optometric Associates, Inc. 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 Ph: (707) 763-2020 | Petaluma Eye Care Optometric Associates, Inc. 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 Ph: (707) 763-2020 |
Lakeville Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 855 Lakeville St, Suite 102, Petaluma, CA 94952 Phone: 707-763-1423 Fax: 707-981-4582 | |
Dr. Marques Joseph Bostic, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7707 | |
Dr. Richard B Boyle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1390 N Mcdowell Blvd Ste F, Petaluma, CA 94954 Phone: 707-795-7433 Fax: 707-795-7359 | |
Gordon Miles Wong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 66 E Washington St, Petaluma, CA 94952 Phone: 707-778-1048 Fax: 707-778-0113 | |
Dr. Ronald Lee Harris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1225 North Mcdowell Blvd., Petaluma, CA 94954 Phone: 707-763-2020 Fax: 707-763-4735 | |
Liana Yungay Lam, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3930 | |
Dr. Richard Cole Aston, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 345b S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-778-1961 Fax: 707-778-1369 |