Primary Eyecare Center, An Optometric Practice | |
764 Santa Rosa St, San Luis Obispo, CA 93401-2804 | |
(805) 543-1447 | |
(805) 543-4778 |
Full Name | Primary Eyecare Center, An Optometric Practice |
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Type | Facility |
Speciality | Optometrist |
Location | 764 Santa Rosa St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013034537 | NPI | - | NPPES |
GSD000531 | Medicaid | CA | |
CD9792 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (California) | Primary |
Provider Name | Quyen T Immoos |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215912449 PECOS PAC ID: 8325006851 Enrollment ID: I20041229000905 |
Provider Name | Lauren R Tackett |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164618682 PECOS PAC ID: 0345322822 Enrollment ID: I20080123000798 |
Provider Name | Charles Tribbey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396930947 PECOS PAC ID: 8729145420 Enrollment ID: I20090325000197 |
Provider Name | Valerie M Suey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366671075 PECOS PAC ID: 0244386142 Enrollment ID: I20090917000568 |
Provider Name | Steven S Hider |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497739106 PECOS PAC ID: 8325112709 Enrollment ID: I20120120000778 |
Provider Name | Jocelyn Ou |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225518996 PECOS PAC ID: 7810249224 Enrollment ID: I20181012002633 |
Mailing Address | Practice Location Address |
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Primary Eyecare Center, An Optometric Practice 764 Santa Rosa St, San Luis Obispo, CA 93401-2804 Ph: (805) 543-1447 | Primary Eyecare Center, An Optometric Practice 764 Santa Rosa St, San Luis Obispo, CA 93401-2804 Ph: (805) 543-1447 |
Dr. Robert B Dirksen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3855 Broad Street, Suite B, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Dr. Scot Anthony Class, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3855 Broad Street, Ste B, San Luis Obispo, CA 93401 Phone: 805-545-8100 Fax: 805-548-8785 | |
Mariah Sibal, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11990 Los Osos Valley Rd, San Luis Obispo, CA 93405 Phone: 805-858-9914 Fax: 805-316-4113 | |
Kimberly D Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 628 California Blvd, Ste D, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Dr. Charles Lee Tribbey, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 719 Higuera St, San Luis Obispo, CA 93401 Phone: 805-541-2333 Fax: 805-543-5795 | |
Elite Eyecare Medical Group A Medical Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 689 Tank Farm Rd Ste 100, San Luis Obispo, CA 93401 Phone: 805-781-3937 |