| Appy Professional Optometric Corporation | |
|
851 Bayside Rd, Arcata, CA 95521-6769 | |
| (707) 822-7641 | |
| (707) 822-5883 |
| Full Name | Appy Professional Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 851 Bayside Rd, Arcata, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710916523 | NPI | - | NPPES |
| ZZZ05414Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | COR 987 (California) | Primary |
| Provider Name | Marcus H Appy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144453002 PECOS PAC ID: 8123165024 Enrollment ID: I20091026000639 |
| Provider Name | Samuel Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073009114 PECOS PAC ID: 0749531895 Enrollment ID: I20180928001010 |
| Provider Name | Monica Rani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063041630 PECOS PAC ID: 9638598501 Enrollment ID: I20200925000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Appy Professional Optometric Corporation 851 Bayside Rd, Arcata, CA 95521-6769 Ph: (707) 822-7641 | Appy Professional Optometric Corporation 851 Bayside Rd, Arcata, CA 95521-6769 Ph: (707) 822-7641 |
James Michael Riley, O D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1600 Weeot Way, Arcata, CA 95521 Phone: 707-825-5000 Fax: 707-825-6747 | |
Samuel Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 Bayside Rd, Arcata, CA 95521 Phone: 707-822-7641 | |
Marcus Henri Appy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 Bayside Rd, Arcata, CA 95521 Phone: 707-822-7641 | |
Loren Martin Azevedo, O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 851 Bayside Rd, Arcata, CA 95521 Phone: 707-822-7641 Fax: 707-822-5883 |