Valley Eye Center Surgical Med Grp | |
14914 Sherman Way, Van Nuys, CA 91405-2113 | |
(818) 787-2020 | |
(818) 787-8652 |
Full Name | Valley Eye Center Surgical Med Grp |
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Type | Facility |
Speciality | Ophthalmology |
Location | 14914 Sherman Way, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659378313 | NPI | - | NPPES |
GR0063313 | Medicaid | CA | |
ZZZ91696Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (California) | Secondary |
207W00000X | Ophthalmology | (California) | Primary |
Provider Name | Doreen T Fazio |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831194398 PECOS PAC ID: 2668378365 Enrollment ID: I20031211001205 |
Provider Name | Hanh Le |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023098613 PECOS PAC ID: 7618997750 Enrollment ID: I20051202000780 |
Provider Name | George M Rajacich |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1962407593 PECOS PAC ID: 3375447212 Enrollment ID: I20070524000718 |
Provider Name | Michael Javaheri |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124298575 PECOS PAC ID: 1052479904 Enrollment ID: I20081021000467 |
Provider Name | Narine S Azarian |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578046546 PECOS PAC ID: 1153754197 Enrollment ID: I20191205002570 |
Provider Name | Kamal Zakka |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851914543 PECOS PAC ID: 5193147486 Enrollment ID: I20200615001118 |
Mailing Address | Practice Location Address |
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Valley Eye Center Surgical Med Grp 14914 Sherman Way, Van Nuys, CA 91405-2113 Ph: (818) 787-2020 | Valley Eye Center Surgical Med Grp 14914 Sherman Way, Van Nuys, CA 91405-2113 Ph: (818) 787-2020 |