San Pablo Optometric Center, Inc. | |
14240 San Pablo Ave, San Pablo, CA 94806-3328 | |
(510) 232-3060 | |
(510) 232-0377 |
Full Name | San Pablo Optometric Center, Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 14240 San Pablo Ave, San Pablo, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184882250 | NPI | - | NPPES |
SD0012274 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12274T (California) | Primary |
Mailing Address | Practice Location Address |
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San Pablo Optometric Center, Inc. 14240 San Pablo Ave, San Pablo, CA 94806-3328 Ph: (510) 232-3060 | San Pablo Optometric Center, Inc. 14240 San Pablo Ave, San Pablo, CA 94806-3328 Ph: (510) 232-3060 |
David W. Tam Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13741 San Pablo Ave, San Pablo, CA 94806 Phone: 510-233-2875 Fax: 510-233-2875 | |
Juan Pablo Anaya, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14240 San Pablo Ave, San Pablo, CA 94806 Phone: 510-232-3060 Fax: 510-232-0377 |