| Dr Jason Wesley Fornara, OD | |
|
199 S Candy Ln, Suite #2, Cottonwood, AZ 86326-4183 | |
| (928) 634-2883 | |
| Not Available |
| Full Name | Dr Jason Wesley Fornara |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 12 Years |
| Location | 199 S Candy Ln, Cottonwood, Arizona |
| 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 |
|---|---|---|---|
| 1093149320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1943 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fornara Eye Center P.c. | 5890862445 | 2 |
| Provider Name | Fornara Eye Center P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295938207 PECOS PAC ID: 5890862445 Enrollment ID: O20080923000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Wesley Fornara, OD 199 S Candy Ln, Suite #2, Cottonwood, AZ 86326-4183 Ph: (928) 634-2883 | Dr Jason Wesley Fornara, OD 199 S Candy Ln, Suite #2, Cottonwood, AZ 86326-4183 Ph: (928) 634-2883 |
Fornara Eye Center P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 199 S Candy Ln, 2a, Cottonwood, AZ 86326 Phone: 928-634-2883 Fax: 928-634-0110 | |
James A. Mathis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2003 E Rodeo Dr, Cottonwood, AZ 86326 Phone: 928-634-4530 Fax: 928-634-4532 | |
Dr. John David Fornara, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 199 S Candy Ln, Suite 2a, Cottonwood, AZ 86326 Phone: 928-634-2883 Fax: 928-634-0110 | |
Dr. Craig L Kuntz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 270 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-634-4202 Fax: 928-634-5963 | |
Mathis Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2003 E. Rodeo Dr., Cottonwood, AZ 86326 Phone: 928-634-4530 Fax: 928-634-4532 |