| Dr Eric Matthew Fennema, OD | |
|
29950 Haun Rd, Suite 206, Sun City, CA 92586-6526 | |
| (951) 679-0545 | |
| (951) 679-6154 |
| Full Name | Dr Eric Matthew Fennema |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 41 Years |
| Location | 29950 Haun Rd, Sun City, 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 |
|---|---|---|---|
| 1710048939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT8225TPL (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inland Eye Specialists A Medical Corp | 3375447964 | 19 |
| Provider Name | Inland Eye Specialists A Medical Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083622567 PECOS PAC ID: 3375447964 Enrollment ID: O20150831001748 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Matthew Fennema, OD 29950 Haun Rd, Suite 206, Sun City, CA 92586-6526 Ph: (951) 679-0545 | Dr Eric Matthew Fennema, OD 29950 Haun Rd, Suite 206, Sun City, CA 92586-6526 Ph: (951) 679-0545 |
Peter G Shaw- Mc Minn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083 | |
Sandy Hanna, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 | |
John S. Hersh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083 | |
Dr. Lysle Shaw-mcminn, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 | |
Michael K. Kobayashi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083 | |
Jaehoon Lee Menifee Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 |