| Mary L. Demoss O.d. Inc. | |
|
31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | |
| (951) 244-4444 | |
| (951) 244-1414 |
| Full Name | Mary L. Demoss O.d. Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 31722 Railroad Canyon Rd, Canyon Lake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457396871 | NPI | - | NPPES |
| GSD004910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8955 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L. Demoss O.d. Inc. 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 Ph: (951) 244-4444 | Mary L. Demoss O.d. Inc. 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 Ph: (951) 244-4444 |
Dr. Steven D Holmstrom, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 | |
Steven D Holmstrom O D Inc Optometrist Medicare: Medicare Enrolled Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 | |
Dr. Mary Lucinda Demoss, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 Fax: 951-244-1414 | |
Steven D. Holmstrom, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 Fax: 951-244-1414 |