| |
6331 Jackson Ave, Riverbank, CA 95367-2733 | |
(209) 869-3300 | |
(209) 869-8809 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 6331 Jackson Ave, Riverbank, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851528236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9440T (California) | Primary |
Mailing Address | Practice Location Address |
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6331 Jackson Ave, Riverbank, CA 95367-2733 Ph: (209) 869-3300 | 6331 Jackson Ave, Riverbank, CA 95367-2733 Ph: (209) 869-3300 |
Mr. Brian Edward Elliott, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 6331 Jackson Ave, Riverbank, CA 95367 Phone: 209-869-3300 Fax: 209-869-8809 |