| Stephen R. Keller, O.d., Inc. | |
|
9596 Baseline Rd, Rancho Cucamonga, CA 91701-5034 | |
| (909) 989-1791 | |
| (909) 989-0782 |
| Full Name | Stephen R. Keller, O.d., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9596 Baseline Rd, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619019197 | NPI | - | NPPES |
| GSD003130 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT10085T (California) | Primary |
| Provider Name | Jessica Michael Tadros |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295165785 PECOS PAC ID: 2264663392 Enrollment ID: I20140424001812 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R. Keller, O.d., Inc. 9596 Baseline Rd, Rancho Cucamonga, CA 91701-5034 Ph: (909) 989-1791 | Stephen R. Keller, O.d., Inc. 9596 Baseline Rd, Rancho Cucamonga, CA 91701-5034 Ph: (909) 989-1791 |
Thuy Hang Tran, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12549 Foothill Blvd, Rancho Cucamonga, CA 91739 Phone: 909-463-0785 Fax: 909-463-6071 | |
Dr. Christopher J Vansuch, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11800 4th St, Rancho Cucamonga, CA 91730 Phone: 909-581-1726 Fax: 909-581-1732 | |
Dr. Kim-uyen Tran Coloma, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7890 Haven Ave Ste 17, Rancho Cucamonga, CA 91730 Phone: 909-987-3330 | |
Dr. Ehaab Zubi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12263 Highland Ave, Ste 120, Rancho Cucamonga, CA 91739 Phone: 909-899-5001 Fax: 909-899-5003 | |
Dr. Prudence Tam, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8977 Foothill Blvd Ste C, Rancho Cucamonga, CA 91730 Phone: 909-987-4919 | |
Marisol Hernandez-sanchez, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12263 Highland Ave Ste 120, Rancho Cucamonga, CA 91739 Phone: 909-899-5001 | |
Sheila Javadi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10740 Foothill Blvd, Rancho Cucamonga, CA 91730 Phone: 909-942-3030 |