| Dr Eric E Miedema, OD | |
|
1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 | |
| (209) 524-4626 | |
| (209) 524-1046 |
| Full Name | Dr Eric E Miedema |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 33 Years |
| Location | 1700 Mchenry Avenue, Modesto, 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 |
|---|---|---|---|
| 1336213735 | NPI | - | NPPES |
| 410020358 | Other | RAILROAD MEDICARE | |
| SD0099470 | Medicaid | CA | |
| 94217822195350B2 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT9947TPA (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanislaus Vision Associates Optometric Group Inc | 9133296460 | 2 |
| Provider Name | Stanislaus Vision Associates Optometric Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457425852 PECOS PAC ID: 9133296460 Enrollment ID: O20081014000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric E Miedema, OD 1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 Ph: (209) 524-4626 | Dr Eric E Miedema, OD 1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 Ph: (209) 524-4626 |
Dr. Ronald F Janda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Ste. A, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste C1, Modesto, CA 95350 Phone: 209-702-6240 | |
Dr. Keith David Kajioka, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 809 Sylvan Ave, Suite 103, Modesto, CA 95350 Phone: 209-524-0100 Fax: 209-524-0596 | |
Dr. Patrick A Lonowski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4120 Hallmark Way, Modesto, CA 95356 Phone: 209-390-4842 | |
Stanley Michael Martin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1011 Sylvan Ave, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
Dr. Mark Henry Harder, OD Optometrist Medicare: Medicare Enrolled Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 | |
Mark H. Harder Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 |