| Your Eyes Image | |
|
419 Vineyard Town Ctr Morgan Hill CA 95037-5631 | |
| () - | |
| Not Available |
| Full Name | Your Eyes Image |
|---|---|
| Speciality | Clinic/Center |
| Location | 419 Vineyard Town Ctr, Morgan Hill, California |
| Authorized Official Name and Position | Carolyn J Connor (SECRETARY) |
| Authorized Official Contact | 4087792266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Eyes Image 419 Vineyard Town Ctr Morgan Hill CA 95037-5631 Ph: (408) 779-2266 | Your Eyes Image 419 Vineyard Town Ctr Morgan Hill CA 95037-5631 Ph: () - |
| NPI Number | 1003305657 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 6709131998 |
|---|---|
| Medicare Enrollment ID | O20180611003005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003305657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7988T (California) | Primary |
| Provider Name | Mark P Maher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811049810 PECOS PAC ID: 6507916756 Enrollment ID: I20090609000333 |
| Provider Name | Carolyn Joy Baker Connor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992854012 PECOS PAC ID: 3971792318 Enrollment ID: I20110114001026 |
| Provider Name | Roshni Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073999090 PECOS PAC ID: 4587972104 Enrollment ID: I20151001001142 |
| Provider Name | Katherine Makayed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245741537 PECOS PAC ID: 9638429038 Enrollment ID: I20180905003635 |
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