Dr Stephen Reed O'connell, | |
200 Mercy Circle, Bldg H200, Camp Pendleton, CA 92055 | |
(760) 725-6642 | |
(760) 725-0083 |
Full Name | Dr Stephen Reed O'connell |
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Gender | Male |
Speciality | Ophthalmology |
Location | 200 Mercy Circle, Camp Pendleton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396835302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | C160208 (California) | Primary |
Entity Name | Crown City Eye Center Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396840633 PECOS PAC ID: 7810998630 Enrollment ID: O20070122000649 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Reed O'connell, 40 Blue Anchor Cay Rd, Coronado, CA 92118-3201 Ph: (850) 516-3949 | Dr Stephen Reed O'connell, 200 Mercy Circle, Bldg H200, Camp Pendleton, CA 92055 Ph: (760) 725-6642 |
Dr. Lawrence Alvin Wood, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Bldg H100, Santa Margarita Road, Camp Pendleton, CA 92055 Phone: 760-725-6641 Fax: 760-725-0083 | |
Kenneth Brinsko, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Bldg H100, Santa Margarita Road, Attention: Code Cs-pa, Camp Pendleton, CA 92055 Phone: 760-725-6641 Fax: 760-725-0083 |