Peter N Brudner, OD | |
425 W Central Ave, Lompoc, CA 93436-2805 | |
(805) 736-2020 | |
(805) 737-1733 |
Full Name | Peter N Brudner |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 425 W Central Ave, Lompoc, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811990633 | NPI | - | NPPES |
1312330002 | Other | CA | MEDICARE DMERC |
SD0079240 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT7924T (California) | Primary |
Provider Name | Elite Eyecare Medical Group A Medical Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437117231 PECOS PAC ID: 5597715391 Enrollment ID: O20050128000937 |
Mailing Address | Practice Location Address |
---|---|
Peter N Brudner, OD 910 E Stowell Rd, Santa Maria, CA 93454-7001 Ph: (805) 925-2637 | Peter N Brudner, OD 425 W Central Ave, Lompoc, CA 93436-2805 Ph: (805) 736-2020 |
Kleen Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826 | |
Daniel R. Taketa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 E Ocean Ave, Lompoc, CA 93436 Phone: 805-736-7010 Fax: 805-736-7589 | |
Pinhkeo Southaphanh O D Inc Optometrist Medicare: Medicare Enrolled Practice Location: 415 E Ocean Ave Ste B, Lompoc, CA 93436 Phone: 805-819-0742 Fax: 805-741-7367 | |
Clear Vision Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 E Ocean Ave Ste B, Lompoc, CA 93436 Phone: 805-819-0742 Fax: 805-741-7367 | |
Dr. Steven Matthew Kleen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826 | |
Kendall Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Central Ave Ste 102, Lompoc, CA 93436 Phone: 805-736-2020 Fax: 805-737-1733 | |
Dr. David Earl Bowin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 W Central Ave, Lompoc, CA 93436 Phone: 805-736-2020 |