Sun City Vision Clinic Optometry | |
27830 Bradley Rd, Sun City, CA 92586-2201 | |
(951) 672-4971 | |
(951) 672-4083 |
Full Name | Sun City Vision Clinic Optometry |
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Type | Facility |
Speciality | Optometrist |
Location | 27830 Bradley Rd, Sun City, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952774788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPT15133 (California) | Primary |
Provider Name | Michael Ken Kobayashi |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750353496 PECOS PAC ID: 9436142833 Enrollment ID: I20040402001440 |
Provider Name | Lysle Shaw-mcminn |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720481641 PECOS PAC ID: 1355649112 Enrollment ID: I20160411001588 |
Mailing Address | Practice Location Address |
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Sun City Vision Clinic Optometry 27830 Bradley Rd, Sun City, CA 92586-2201 Ph: (951) 672-4971 | Sun City Vision Clinic Optometry 27830 Bradley Rd, Sun City, CA 92586-2201 Ph: (951) 672-4971 |
Peter G Shaw- Mc Minn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083 | |
Sandy Hanna, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 | |
John S. Hersh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083 | |
Dr. Eric Matthew Fennema, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 29950 Haun Rd, Suite 206, Sun City, CA 92586 Phone: 951-679-0545 Fax: 951-679-6154 | |
Dr. Lysle Shaw-mcminn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 | |
Michael K. Kobayashi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083 | |
Dr. Kenneth Earl Christopher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 28081 Bradley Rd, Sun City, CA 92586 Phone: 951-672-2010 Fax: 951-679-4050 |