| Vision Center Lp | |
|
3301 S Harbor Blvd Ste 104 Santa Ana CA 92704-6857 | |
| (714) 979-2021 | |
| (714) 549-3367 |
| Full Name | Vision Center Lp |
|---|---|
| Speciality | Clinic/Center |
| Location | 3301 S Harbor Blvd, Santa Ana, California |
| Authorized Official Name and Position | William Berke (PRESIDENT/OWNER) |
| Authorized Official Contact | 7149792021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Center Lp 3301 S Harbor Blvd Ste 104 Santa Ana CA 92704-6857 Ph: (714) 979-2021 | Vision Center Lp 3301 S Harbor Blvd Ste 104 Santa Ana CA 92704-6857 Ph: (714) 979-2021 |
| NPI Number | 1942503933 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 03/28/2014 |
| Medicare PECOS PAC ID | 2466496443 |
|---|---|
| Medicare Enrollment ID | O20050611000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942503933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5504 (California) | Primary |
| Provider Name | William Berke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699755850 PECOS PAC ID: 6103014717 Enrollment ID: I20101227000382 |
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