Wildomar Eye Care | |
34859 Fredrick Street, Suite 109, Wildomar, CA 92595-2595 | |
(951) 678-7690 | |
(951) 837-4816 |
Full Name | Wildomar Eye Care |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 34859 Fredrick Street, Wildomar, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245457852 | NPI | - | NPPES |
SD0126700 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12670T (California) | Primary |
Provider Name | Tan D Vu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780638726 PECOS PAC ID: 6103843925 Enrollment ID: I20051031000555 |
Mailing Address | Practice Location Address |
---|---|
Wildomar Eye Care 34859 Fredrick Street, Suite 109, Wildomar, CA 92595-2595 Ph: (951) 678-7690 | Wildomar Eye Care 34859 Fredrick Street, Suite 109, Wildomar, CA 92595-2595 Ph: (951) 678-7690 |
Mark A. Jury Optometric Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 23905 Clinton Keith Road, Suite 115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 951-304-9734 | |
Mark A Jury, Od A Optometric Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23905 Clinton Keith Rd, Ste #115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 866-741-5945 | |
Mark Alan Jury, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23905 Clinton Keith Rd, Suite115, Wildomar, CA 92595 Phone: 951-304-9733 | |
Dr. Brian Lemoyne Parker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23905 Clinton Keith Rd, Ste 115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 866-741-5945 | |
Bear Creek Eye Care Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 36330 Hidden Springs Rd Ste A, Wildomar, CA 92595 Phone: 951-609-9099 | |
Dr Emelline Chen Od Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 36330 Hidden Springs Rd Ste A, Wildomar, CA 92595 Phone: 909-632-8416 |