| Dr Mary Lucinda Demoss, OD | |
|
31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 | |
| (951) 244-4444 | |
| (951) 244-1414 |
| Full Name | Dr Mary Lucinda Demoss |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 37 Years |
| Location | 31722 Railroad Canyon Rd, Canyon Lake, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912958539 | NPI | - | NPPES |
| SD0089550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8955 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michaels And Vu Od A Professional Corporation | 8527157437 | 3 |
| Total Vision Pc | 9234472242 | 115 |
| Provider Name | Michaels & Vu Od A Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376748368 PECOS PAC ID: 8527157437 Enrollment ID: O20071129000688 |
| Provider Name | Total Vision Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356813711 PECOS PAC ID: 9234472242 Enrollment ID: O20190515000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Lucinda Demoss, OD 23002 Lake Center Dr, Lake Forest, CA 92630-6801 Ph: (949) 454-1064 | Dr Mary Lucinda Demoss, OD 31722 Railroad Canyon Rd, Canyon Lake, CA 92587-9486 Ph: (951) 244-4444 |
Dr. Steven D Holmstrom, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 | |
Steven D Holmstrom O D Inc Optometrist Medicare: Medicare Enrolled Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 | |
Mary L. Demoss O.d. Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 Fax: 951-244-1414 | |
Steven D. Holmstrom, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31722 Railroad Canyon Rd, Canyon Lake, CA 92587 Phone: 951-244-4444 Fax: 951-244-1414 |