| |
419 Vineyard Town Ctr Morgan Hill CA 95037-5631 | |
() - | |
Not Available |
Full Name | |
---|---|
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 |
---|---|
419 Vineyard Town Ctr Morgan Hill CA 95037-5631 Ph: (408) 779-2266 | 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 |
Santa Teresa Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 E Main Ave, Ste. A, Morgan Hill, CA 95037 Phone: 408-779-7348 Fax: 408-779-7349 | |
County Of Santa Clara Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18550 De Paul Dr, Morgan Hill, CA 95037 Phone: 408-885-5000 | |
Shiva Mohtashami Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18511 Mission View Dr Ste 100, Morgan Hill, CA 95037 Phone: 408-659-7300 Fax: 408-228-3995 | |
Joseph W Kraut Jr Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18181 Butterfield Blvd, Suite 180, Morgan Hill, CA 95037 Phone: 408-779-7696 Fax: 408-779-5546 |