| Bonita Point Family Optometry, Inc. | |
|
180 Otay Lakes Rd, Suite 201, Bonita, CA 91902-2443 | |
| (619) 267-9900 | |
| (619) 267-9910 |
| Full Name | Bonita Point Family Optometry, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 180 Otay Lakes Rd, Bonita, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265637714 | NPI | - | NPPES |
| 1841406394 | Other | NPI | |
| SD0079890 | Medicaid | CA | |
| 1841208840 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 7989TPL (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Point Family Optometry, Inc. 180 Otay Lakes Rd, Suite 201, Bonita, CA 91902-2443 Ph: (619) 267-9900 | Bonita Point Family Optometry, Inc. 180 Otay Lakes Rd, Suite 201, Bonita, CA 91902-2443 Ph: (619) 267-9900 |
Dr. Ronald B Short, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3955 Bonita Rd, Bonita, CA 91902 Phone: 619-409-9997 | |
Dr. Daniel Cha, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4502 Bonita Rd, Bonita, CA 91902 Phone: 619-479-7334 Fax: 619-475-3456 | |
Daniel Luther Mason, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 180 Otay Lakes Rd, Suite 201, Bonita, CA 91902 Phone: 619-267-9900 Fax: 619-267-9910 | |
Henry E Kikunaga, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 Otay Lakes Rd, Suite 201, Bonita, CA 91902 Phone: 619-267-9900 Fax: 619-267-9910 | |
Dr. Edward K. Harver, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4502 Bonita Rd, Bonita, CA 91902 Phone: 619-479-7334 Fax: 619-475-3456 |