| |
1515 Response Rd, Sacramento, CA 95815-4805 | |
(916) 649-1515 | |
(916) 649-1516 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1515 Response Rd, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730253287 | NPI | - | NPPES |
GR0102650 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (California) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Patricia Beatriz Sierra |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710997895 PECOS PAC ID: 6709984917 Enrollment ID: I20070612000672 |
Provider Name | Cecille G Taylor |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1336176312 PECOS PAC ID: 4284792748 Enrollment ID: I20081028000209 |
Provider Name | Pamela H.s. Wagner |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124233184 PECOS PAC ID: 2264618974 Enrollment ID: I20110513000513 |
Provider Name | Jacob W Brubaker |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740433945 PECOS PAC ID: 5193980811 Enrollment ID: I20130621000246 |
Provider Name | Samuel H Lee |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306173893 PECOS PAC ID: 5799933255 Enrollment ID: I20131029000233 |
Provider Name | Peter W Wu |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639469828 PECOS PAC ID: 4284942244 Enrollment ID: I20161019001656 |
Provider Name | Michelle Hoyt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215471891 PECOS PAC ID: 5294000634 Enrollment ID: I20171011000009 |
Provider Name | Xiongfei Liu |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1497135156 PECOS PAC ID: 1658607585 Enrollment ID: I20190730001952 |
Provider Name | Monica C Robinson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083741235 PECOS PAC ID: 2062709801 Enrollment ID: I20210512002823 |
Provider Name | Sharon Janiece Cheatle |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508357617 PECOS PAC ID: 7315276813 Enrollment ID: I20240830003538 |
Mailing Address | Practice Location Address |
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1515 Response Rd, Sacramento, CA 95815-4805 Ph: (916) 649-1515 | 1515 Response Rd, Sacramento, CA 95815-4805 Ph: (916) 649-1515 |