| Dr Michelle Marie Go Mijares, OD | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Dr Michelle Marie Go Mijares |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861807380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV008133-1 (New York) | Secondary |
| 152W00000X | Optometrist | 2018043160 (Missouri) | Primary |
| Provider Name | Dhhs Phs Naihs Crownpoint Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Marie Go Mijares, OD Po Box 649, Fort Defiance, AZ 86504-0649 Ph: () - | Dr Michelle Marie Go Mijares, OD Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
Dr. Melissa Marie Lester, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8929 | |
Dr. Lakitta Monchelle Woods-dwelle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Luisa Rahell Alvarez, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 951-312-9596 | |
Ryan Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Indian Rte 7 & Indian Route 12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Ricardo Raul Salvat, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. David Henry Biberdorf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Mr. Mark A. Latta, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8925 |