| Allison Elizabeth Sholly, OD | |
| 
					427 E 17th St Ste C, Costa Mesa, CA 92627-3201  | |
| (949) 642-2929 | |
| Not Available | 
| Full Name | Allison Elizabeth Sholly | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 427 E 17th St Ste C, Costa Mesa, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447886601 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 34740TLG (California) | Primary | 
| Provider Name | Jeffrey T Safarik | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1801882253 PECOS PAC ID: 9830183730 Enrollment ID: I20040413001223  | 
| Provider Name | Marshall B Ketchum University | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1720101876 PECOS PAC ID: 9739075177 Enrollment ID: O20040224000463  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Allison Elizabeth Sholly, OD 408 E Jeanette Ln, Santa Ana, CA 92705-6017 Ph: (562) 309-1080  | Allison Elizabeth Sholly, OD 427 E 17th St Ste C, Costa Mesa, CA 92627-3201 Ph: (949) 642-2929  | 
Dr. Benjamin J Szu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3140 Bear St, Costa Mesa, CA 92626 Phone: 714-557-2020  | |
Dr. Kevin Michael Grant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3140 Bear St, Costa Mesa, CA 92626 Phone: 714-557-2020  | |
Trilogy Eye Medical Group, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1640 Newport Blvd, 220, Costa Mesa, CA 92627 Phone: 949-873-5046 Fax: 949-873-5394  | |
Retina Institute Of California Medical Group, A California Medical Par Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627 Phone: 949-876-5046 Fax: 949-573-5394  | |
Dr. Mimia Wen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave Ste 120, Costa Mesa, CA 92627 Phone: 949-432-7894 Fax: 949-432-7880  | |
Dr. Jack Chia Shea, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627 Phone: 949-642-7882 Fax: 949-642-7792  | |
My Linh Ton-nu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627 Phone: 714-951-3297  |