| Sierra Vista Optometry | |
|
940 Sylva Ln Ste H, Sonora, CA 95370-5969 | |
| (209) 532-4123 | |
| Not Available |
| Full Name | Sierra Vista Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 940 Sylva Ln Ste H, Sonora, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689896847 | NPI | - | NPPES |
| GSD000290 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9525T (California) | Primary |
| Provider Name | Russell N Cotteral |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619911047 PECOS PAC ID: 5092811059 Enrollment ID: I20070508000358 |
| Provider Name | Leonard H Forbes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497867600 PECOS PAC ID: 8224108725 Enrollment ID: I20080609000885 |
| Provider Name | James Ernest Winnick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821171000 PECOS PAC ID: 8527120195 Enrollment ID: I20081217000018 |
| Provider Name | Alma Delia Martinez Torres |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639510852 PECOS PAC ID: 6800021882 Enrollment ID: I20131029000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista Optometry 940 Sylva Ln Ste H, Sonora, CA 95370-5969 Ph: (209) 532-4123 | Sierra Vista Optometry 940 Sylva Ln Ste H, Sonora, CA 95370-5969 Ph: (209) 532-4123 |
M A C T Health Board, Incorporated Optometrist Medicare: Medicare Enrolled Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-754-6262 | |
Victor F. Child, An Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 14550 Mono Way, Sonora, CA 95370 Phone: 209-532-7192 Fax: 209-532-5836 | |
James Laffin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-532-4123 | |
Mrs. Livia Speare Galli Rasmussen, OD, MS Optometrist Medicare: Medicare Enrolled Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-532-4123 Fax: 209-532-6749 | |
Dr. Russell Norman Cotteral, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 940 Sylva Ln Ste H, Sonora, CA 95370 Phone: 209-532-4132 Fax: 209-532-6749 | |
Dr. Wallace T Stuart, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 48 S Stewart St, Sonora, CA 95370 Phone: 209-532-5421 |