| Dr Larry M Dedonato, OD | |
|
1429 Main St, Delano, CA 93215-1726 | |
| (661) 725-9771 | |
| (661) 725-2403 |
| Full Name | Dr Larry M Dedonato |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1429 Main St, Delano, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447216221 | NPI | - | NPPES |
| SD0064290 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT6429T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry M Dedonato, OD 1429 Main St, Delano, CA 93215-1726 Ph: (661) 725-9771 | Dr Larry M Dedonato, OD 1429 Main St, Delano, CA 93215-1726 Ph: (661) 725-9771 |
Dr. Mark J Park, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 919 13th Ave, Delano, CA 93215 Phone: 661-725-3795 Fax: 661-725-3797 | |
Dr. Lori Ann Kucia-park, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 919 13th Avenue, Delano, CA 93215 Phone: 661-725-3795 Fax: 661-725-3797 |