| Dr Brian Keith Foutch, OD | |
|
20231 W Valley Blvd Ste G, Tehachapi, CA 93561-6865 | |
| (661) 822-1212 | |
| Not Available |
| Full Name | Dr Brian Keith Foutch |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 27 Years |
| Location | 20231 W Valley Blvd Ste G, Tehachapi, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376612309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5978T (Texas) | Secondary |
| 152W00000X | Optometrist | OPT36143 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of The Incarnate Word | 9234310301 | 22 |
| Provider Name | University Of The Incarnate Word |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Keith Foutch, OD 102 Elderberry Ct, Tehachapi, CA 93561-8984 Ph: (210) 445-3507 | Dr Brian Keith Foutch, OD 20231 W Valley Blvd Ste G, Tehachapi, CA 93561-6865 Ph: (661) 822-1212 |
Dr. John Edward Fagan Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20231 W Valley Blvd, Suite G, Tehachapi, CA 93561 Phone: 661-822-1212 Fax: 661-822-3296 | |
Brian K Foutch Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20231 W Valley Blvd Ste G, Tehachapi, CA 93561 Phone: 661-822-1212 Fax: 661-822-3296 | |
Dr. Boyd F Young, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20131 W Valley Blvd, Tehachapi, CA 93561 Phone: 661-822-6886 | |
Dale A. Young, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20231 W Valley Blvd Ste G, Tehachapi, CA 93561 Phone: 661-822-1212 |