| Andrew R Marinkovich Jr, OD | |
|
518 N Moorpark Rd, Thousand Oaks, CA 91360-3703 | |
| (805) 373-0599 | |
| (805) 495-4263 |
| Full Name | Andrew R Marinkovich Jr |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 518 N Moorpark Rd, Thousand Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649321225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8797 (California) | Primary |
| Provider Name | Professional Eyecare Oak Park Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952452229 PECOS PAC ID: 8921990433 Enrollment ID: O20051108000439 |
| Provider Name | Professional Eyecare South Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679198402 PECOS PAC ID: 2567884240 Enrollment ID: O20200625002102 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew R Marinkovich Jr, OD 5525 Moonshadow St, Simi Valley, CA 93063-5740 Ph: (805) 415-1919 | Andrew R Marinkovich Jr, OD 518 N Moorpark Rd, Thousand Oaks, CA 91360-3703 Ph: (805) 373-0599 |
Gina C Shao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2322 E Thousand Oaks Blvd, Thousand Oaks, CA 91362 Phone: 805-557-1055 | |
Dr. Paul Alan Snyder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2125 E Thousand Oaks Blvd, Suite A, Thousand Oaks, CA 91362 Phone: 805-497-7373 | |
Lori Ashley Bailey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2125 E. Thousand Oaks Blvd, Thousand Oaks, CA 91362 Phone: 805-497-7373 | |
Dr. Rachel M Gannam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 155 E Wilbur Rd Ste 101, Thousand Oaks, CA 91360 Phone: 805-497-7840 Fax: 805-373-0577 | |
James B Mayer Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 N Rancho Rd Ste 1, Thousand Oaks, CA 91362 Phone: 805-495-3937 Fax: 805-373-9843 | |
Dr. Lisa Fontaine, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 145 W. Hillcrest Dr., Thousand Oaks, CA 91360 Phone: 805-496-9059 | |
Dr. Jason C Griffith, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 W Hillcrest Dr, Suite 112, Thousand Oaks, CA 91360 Phone: 805-497-6964 |