| Dixon Eyecare Associates An Optometric Corporation | |
|
125 N Lincoln St, Suite A, Dixon, CA 95620-3258 | |
| (707) 678-3055 | |
| (707) 678-9265 |
| Full Name | Dixon Eyecare Associates An Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 125 N Lincoln St, Dixon, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548313901 | NPI | - | NPPES |
| ZZZ07696Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6335T (California) | Primary |
| Provider Name | Edward P Andersen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609804921 PECOS PAC ID: 2769485283 Enrollment ID: I20060822000475 |
| Provider Name | John Rosten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174603997 PECOS PAC ID: 6002989183 Enrollment ID: I20080723000130 |
| Provider Name | Tyler Dean Spilman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942930599 PECOS PAC ID: 8628453149 Enrollment ID: I20230630002704 |
| Mailing Address | Practice Location Address |
|---|---|
| Dixon Eyecare Associates An Optometric Corporation 125 N Lincoln St, Suite A, Dixon, CA 95620-3258 Ph: (707) 678-3055 | Dixon Eyecare Associates An Optometric Corporation 125 N Lincoln St, Suite A, Dixon, CA 95620-3258 Ph: (707) 678-3055 |
Dr. John Gilliland Rosten, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 125 N Lincoln St, Suite A, Dixon, CA 95620 Phone: 707-678-3055 Fax: 707-678-9265 | |
Tyler Dean Spilman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 125 N Lincoln St Ste A, Dixon, CA 95620 Phone: 707-678-3055 Fax: 707-678-9265 |