| Mr Roger F Carlson, MD | |
|
2852 Redwood Pkwy, Vallejo, CA 94591-3633 | |
| (707) 553-8222 | |
| (707) 553-1154 |
| Full Name | Mr Roger F Carlson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 2852 Redwood Pkwy, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336195486 | NPI | - | NPPES |
| ZZZ80657Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 00G231060 (California) | Primary |
| Entity Name | Redwood Eye Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023061306 PECOS PAC ID: 8224139969 Enrollment ID: O20070724000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roger F Carlson, MD 2852 Redwood Pkwy, Vallejo, CA 94591-3633 Ph: (707) 553-8222 | Mr Roger F Carlson, MD 2852 Redwood Pkwy, Vallejo, CA 94591-3633 Ph: (707) 553-8222 |
Christianne Wa, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1460 N Camino Alto Ste 206, Vallejo, CA 94589 Phone: 800-573-8462 Fax: 707-552-9599 | |
Tien-an Yang, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Drive, Kaiser Permanente Medical Center, Vallejo, CA 94589 Phone: 707-651-5760 Fax: 707-651-2980 | |
Dr. Christine Yi-shin Chiou Smith, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5798 Fax: 707-651-2980 | |
Brian J. Bubnic, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Deanna K. Wilson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
David A. Simundson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |