| Benjamin S Threlkeld | |
|
250 Cambridge Ave, Suite 102, Palo Alto, CA 94306-1549 | |
| (650) 323-6772 | |
| (650) 323-6775 |
| Full Name | Benjamin S Threlkeld |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 250 Cambridge Ave, Palo Alto, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073754974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11147T (California) | Secondary |
| 152W00000X | Optometrist | 11278T (California) | Primary |
| Provider Name | Cindy Threlkeld |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407093834 PECOS PAC ID: 7911064969 Enrollment ID: I20090319000229 |
| Provider Name | Benjamin S Threlkeld |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578681524 PECOS PAC ID: 3870507346 Enrollment ID: I20091006000215 |
| Provider Name | Matthew Peter Snider |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255861829 PECOS PAC ID: 6406126069 Enrollment ID: I20170714001592 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin S Threlkeld 250 Cambridge Ave, Suite 102, Palo Alto, CA 94306-1549 Ph: (650) 323-6772 | Benjamin S Threlkeld 250 Cambridge Ave, Suite 102, Palo Alto, CA 94306-1549 Ph: (650) 323-6772 |
Pareet Raju, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2307 Birch St, Palo Alto, CA 94306 Phone: 650-323-6772 | |
Dr. Dan Alan Baggett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 S California Ave, Palo Alto, CA 94306 Phone: 650-617-2020 Fax: 650-617-4550 | |
Heather Elizabeth Jonasson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Wbrc 124, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Dr. Adrienne Dawn Lee, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 231 Hamilton Ave, Palo Alto, CA 94301 Phone: 650-326-1649 | |
Eyes Of The Avenue, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 479 University Ave, Palo Alto, CA 94301 Phone: 650-327-2020 Fax: 650-327-2039 | |
Xiao Xiao, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2750 Middlefield Rd, Palo Alto, CA 94306 Phone: 650-321-3382 Fax: 650-321-3383 | |
Dr. Connie Minah Woo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 |