| |
2465 Discovery Bay Blvd Ste 201, Discovery Bay, CA 94505-1009 | |
(925) 626-7070 | |
(925) 626-7061 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 2465 Discovery Bay Blvd Ste 201, Discovery Bay, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376871608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 13393 (California) | Primary |
Provider Name | Jeffrey S Ricks |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043403595 PECOS PAC ID: 4082763024 Enrollment ID: I20090521000089 |
Provider Name | Paul Singh Atwal |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457542540 PECOS PAC ID: 4688804693 Enrollment ID: I20190529000926 |
Mailing Address | Practice Location Address |
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2465 Discovery Bay Blvd Ste 201, Discovery Bay, CA 94505-1009 Ph: (925) 626-7070 | 2465 Discovery Bay Blvd Ste 201, Discovery Bay, CA 94505-1009 Ph: (925) 626-7070 |
Dr. Jennifer Yen Luu, O.D., M.S. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Discovery Bay Blvd, Suite 600, Discovery Bay, CA 94505 Phone: 925-516-0202 |