| |
910 E Stowell Rd, Santa Maria, CA 93454 | |
(805) 925-2637 | |
(805) 347-0033 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 910 E Stowell Rd, Santa Maria, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578521472 | NPI | - | NPPES |
ZZZ61059Z | Other | CA | BLUE SHIELD OF CA |
GSD004610 | Medicaid | CA | |
GR0086921 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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910 E Stowell Rd, Santa Maria, CA 93454-7001 Ph: (805) 925-2637 | 910 E Stowell Rd, Santa Maria, CA 93454 Ph: (805) 925-2637 |