Stephen Courtney Godfrey, OD | |
1033 3rd St, San Rafael, CA 94901-3107 | |
(415) 482-6707 | |
Not Available |
Full Name | Stephen Courtney Godfrey |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1033 3rd St, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417002841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 8476T (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Stephen Courtney Godfrey, OD 1033 3rd St, San Rafael, CA 94901-3107 Ph: (415) 482-6707 | Stephen Courtney Godfrey, OD 1033 3rd St, San Rafael, CA 94901-3107 Ph: (415) 482-6707 |
Christine Yim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Civic Center Dr Ste 200a, San Rafael, CA 94903 Phone: 415-519-6582 | |
Dr. Ronald Santiago Garcia, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1436 4th St, San Rafael, CA 94901 Phone: 415-454-0354 Fax: 415-454-0497 | |
Dr. Crizelda Lauron, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Civic Center Dr, Suite 200a, San Rafael, CA 94903 Phone: 415-444-0300 | |
Sabrina N Stilwell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1033 3rd St, San Rafael, CA 94901 Phone: 415-482-6826 | |
Robert B Levine, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 Grand Avenue, San Rafael, CA 94901 Phone: 415-453-3812 Fax: 415-453-6712 | |
Leung Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9000 Northgate Mall, San Rafael, CA 94903 Phone: 415-507-2364 | |
Dr. Katherine Marjorie Stout-bautista, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1033 3rd St, San Rafael, CA 94901 Phone: 415-482-6826 Fax: 415-482-6726 |