| Dr Patrick James Clark Jr, OD | |
|
101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, CA 94535-1809 | |
| (707) 423-7171 | |
| Not Available |
| Full Name | Dr Patrick James Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285699553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10580T (California) | Primary |
| Provider Name | Petaluma Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
| Provider Name | Regents Of The University Of California At Berkeley |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306908058 PECOS PAC ID: 8628083110 Enrollment ID: O20060221000349 |
| Provider Name | The West Oakland Health Council |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285754234 PECOS PAC ID: 9537062302 Enrollment ID: O20120420000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick James Clark Jr, OD 101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, CA 94535-1809 Ph: (707) 423-7171 | Dr Patrick James Clark Jr, OD 101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, CA 94535-1809 Ph: (707) 423-7171 |
Dr. Gary L Martinsen, OD, PHD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, 60 Mdg/sgpe, Travis Afb, CA 94535 Phone: 707-423-7141 | |
Casey Rae Shoop, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7171 | |
Dr. Maria Guadalupe Tarin-lopez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 461 Skymaster Cir, Travis Afb, CA 94535 Phone: 707-437-4095 Fax: 707-437-4095 | |
Dr. Cang Q. Bui, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7171 | |
Mrs. Adrian N Hulbert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgpe, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7171 | |
Dr. Segun Ezekiel Oke, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 60 Mdg/sgxe, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-222-2172 |