| Dr Jesse Vincent Dominguez, OD | |
|
725 E. Main St., Suite 1c, Somerton, AZ 85350-0634 | |
| (928) 627-4525 | |
| (928) 627-4524 |
| Full Name | Dr Jesse Vincent Dominguez |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 24 Years |
| Location | 725 E. Main St., Somerton, 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 |
|---|---|---|---|
| 1669789814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1210 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nicolex Llc | 3870805179 | 2 |
| Somerton Eyecare Center Inc | 9133221369 | 2 |
| Provider Name | Midwestern University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932206414 PECOS PAC ID: 6305734773 Enrollment ID: O20040308000663 |
| Provider Name | Somerton Eyecare Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306981386 PECOS PAC ID: 9133221369 Enrollment ID: O20070219000625 |
| Provider Name | Nicolex Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003221185 PECOS PAC ID: 3870805179 Enrollment ID: O20150629002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesse Vincent Dominguez, OD Po Box 634, Somerton, AZ 85350-0634 Ph: (928) 627-4525 | Dr Jesse Vincent Dominguez, OD 725 E. Main St., Suite 1c, Somerton, AZ 85350-0634 Ph: (928) 627-4525 |
Somerton Eyecare Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 725 E. Main St., Suite 1c, Somerton, AZ 85350 Phone: 928-627-4525 | |
Jacob Richard Bromley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 E Main St, Apt #1c, Somerton, AZ 85350 Phone: 928-627-4525 |