Susan Loretta Bynum, OD | |
97 San Marin Dr, Novato, CA 94945-1100 | |
(415) 899-7560 | |
Not Available |
Full Name | Susan Loretta Bynum |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 97 San Marin Dr, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861539868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9723 (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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Susan Loretta Bynum, OD 97 San Marin Dr, Novato, CA 94945-1100 Ph: (415) 899-7560 | Susan Loretta Bynum, OD 97 San Marin Dr, Novato, CA 94945-1100 Ph: (415) 899-7560 |
Dr. Tania M. Mantua, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 Redwood Blvd Ste F, Novato, CA 94945 Phone: 415-897-2997 Fax: 415-898-3626 | |
E Craig Mccurdy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Novato Blvd, Suite C, Novato, CA 94947 Phone: 415-897-1161 Fax: 415-899-9871 | |
Suzanne D Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1300 Grant Ave, #102, Novato, CA 94945 Phone: 415-898-2320 Fax: 415-892-7000 | |
Matt Siu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 Redwood Blvd, Ste F, Novato, CA 94945 Phone: 415-897-2997 | |
Jasmine Huanjing Chen O.d. A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 208 Vintage Way, Suite K21, Novato, CA 94945 Phone: 415-897-3377 | |
Dr. Dennis Lane Palm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7559 Fax: 415-899-7513 | |
Christina Chun, O.d., Incorporated Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Vintage Way, Novato, CA 94945 Phone: 415-898-5591 |