| Eye Center Optometrics, A Professional Corporation | |
|
5959 Greenback Ln, Suite 130, Citrus Heights, CA 95621-4700 | |
| (916) 726-1818 | |
| (916) 726-1822 |
| Full Name | Eye Center Optometrics, A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5959 Greenback Ln, Citrus Heights, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245369024 | NPI | - | NPPES |
| ZZZ50558Z | Other | CA | BLUE SHIELD PIN |
| ZZZ69113Z | Other | CA | BLUE SHIELD PIN |
| GSD001121 | Medicaid | CA | |
| GSD001120 | Medicaid | CA | |
| GSD001122 | Medicaid | CA | |
| ZZZ50557Z | Other | CA | BLUE SHIELD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | COR 1075 (California) | Primary |
| Provider Name | Scott E Gittins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548352131 PECOS PAC ID: 0749259950 Enrollment ID: I20040927000662 |
| Provider Name | Randall Fuerst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902998966 PECOS PAC ID: 4385613504 Enrollment ID: I20040927000733 |
| Provider Name | Palmer Norris Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114019171 PECOS PAC ID: 9830168053 Enrollment ID: I20040927000852 |
| Provider Name | John Craig Coen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174615793 PECOS PAC ID: 2567431778 Enrollment ID: I20041110001291 |
| Provider Name | Brenda Sorensen Coen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104918739 PECOS PAC ID: 6103882444 Enrollment ID: I20041218000056 |
| Provider Name | Linda B Rappa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407964430 PECOS PAC ID: 2365403821 Enrollment ID: I20061026000524 |
| Provider Name | David R Norcott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093898710 PECOS PAC ID: 7719060094 Enrollment ID: I20080208000516 |
| Provider Name | Joseph Y Lilley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932237054 PECOS PAC ID: 8224177852 Enrollment ID: I20091120000222 |
| Provider Name | Larrance E Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437133188 PECOS PAC ID: 4880887512 Enrollment ID: I20101026000552 |
| Provider Name | Selene Lum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881825958 PECOS PAC ID: 9133307259 Enrollment ID: I20110620000628 |
| Provider Name | Lilan Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104230200 PECOS PAC ID: 9032413125 Enrollment ID: I20160210001606 |
| Provider Name | Christina Mcghee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144998246 PECOS PAC ID: 5092112672 Enrollment ID: I20210923003417 |
| Provider Name | Mahnoush Rafat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972244218 PECOS PAC ID: 5597142448 Enrollment ID: I20220513001628 |
| Provider Name | Richard Hom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841360328 PECOS PAC ID: 4880044460 Enrollment ID: I20231221003748 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Center Optometrics, A Professional Corporation 5959 Greenback Ln, Suite 130, Citrus Heights, CA 95621-4700 Ph: (916) 726-1818 | Eye Center Optometrics, A Professional Corporation 5959 Greenback Ln, Suite 130, Citrus Heights, CA 95621-4700 Ph: (916) 726-1818 |
Dr. Gary Wayne Bruner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6100 Sunrise Mall, Citrus Heights, CA 95610 Phone: 916-721-1466 Fax: 916-726-0658 | |
Newton Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6000 Sunrise Mall, Citrus Heights, CA 95610 Phone: 916-536-9293 | |
Michael B. Hatashita O.d., An Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 7900 Zenith Dr, Citrus Heights, CA 95621 Phone: 916-725-2020 Fax: 916-725-1750 | |
Brenda S Coen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5959 Greenback Ln, Suite 130, Citrus Heights, CA 95621 Phone: 916-726-1818 Fax: 916-726-1822 | |
Eye Designs Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 Sunrise Blvd, Ste 400, Citrus Heights, CA 95610 Phone: 916-726-2020 Fax: 916-726-3937 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5899 Sunrise Blvd, Citrus Heights, CA 95610 Phone: 916-534-1018 | |
Eye Center Optometric Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5959 Greenback Ln, Citrus Heights, CA 95621 Phone: 916-726-1818 Fax: 916-726-1822 |