| Dr. John E. Fagan, Optometrist, Inc. | |
|
20231 W Valley Blvd, Suite G, Tehachapi, CA 93561-6865 | |
| (661) 822-1212 | |
| (661) 822-3296 |
| Full Name | Dr. John E. Fagan, Optometrist, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 20231 W Valley Blvd, Tehachapi, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619129921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 7946T (California) | Primary |
| 261QC1800X | Clinic/center - Corporate Health | 7946T (California) | Secondary |
| Provider Name | John Edward Fagan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255324042 PECOS PAC ID: 9133172786 Enrollment ID: I20050223000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. John E. Fagan, Optometrist, Inc. 20231 W Valley Blvd, Suite G, Tehachapi, CA 93561-6865 Ph: (661) 822-1212 | Dr. John E. Fagan, Optometrist, Inc. 20231 W Valley Blvd, Suite 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 | |
Dr. Brian Keith Foutch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20231 W Valley Blvd Ste G, Tehachapi, CA 93561 Phone: 661-822-1212 | |
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 |