| Moon Valley Eyecare | |
|
14435 N 7th St, Ste 104, Phoenix, AZ 85022-4371 | |
| (602) 993-2727 | |
| (602) 449-0681 |
| Full Name | Moon Valley Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14435 N 7th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003221185 | NPI | - | NPPES |
| 747561 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | AZ1210 (Arizona) | Primary |
| Provider Name | Jesse V Dominguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669789814 PECOS PAC ID: 8022293547 Enrollment ID: I20110427000588 |
| Provider Name | Jacob Richard Bromley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992310312 PECOS PAC ID: 6608296579 Enrollment ID: I20201014001543 |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Valley Eyecare 14435 N 7th St, Ste 104, Phoenix, AZ 85022-4371 Ph: (602) 993-2727 | Moon Valley Eyecare 14435 N 7th St, Ste 104, Phoenix, AZ 85022-4371 Ph: (602) 993-2727 |
Dr. Karly Baier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W Clarendon Ave Ste 150, Phoenix, AZ 85013 Phone: 602-283-4503 Fax: 844-965-9564 | |
Dr. Aleta Belinda Gong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16020 N 35th Ave, Phoenix, AZ 85053 Phone: 602-547-3255 | |
Optical Expressions Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 112 W Mcdowell Rd, Phoenix, AZ 85003 Phone: 602-254-3169 Fax: 602-256-7112 | |
Suzanne Streff, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9617 N Metro Pkwy W, 1000, Phoenix, AZ 85051 Phone: 602-678-4395 Fax: 602-678-4396 | |
Dr. Lois Filipelli, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Abc Children's Eye Specialists, 1010 E Mcdowell Rd, Ste 301, Phoenix, AZ 85006 Phone: 602-222-2234 | |
Dr. Peter Rosenberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3415 W Glendale Ave, Building B, Suite 11, Phoenix, AZ 85051 Phone: 602-973-5868 Fax: 602-973-6076 |