| Dr Rick Wayne Ideta, OD | |
|
7215 N 1st St, Ste 101, Fresno, CA 93720-2985 | |
| (559) 226-3937 | |
| (559) 226-8305 |
| Full Name | Dr Rick Wayne Ideta |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 7215 N 1st St, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245282011 | NPI | - | NPPES |
| 191148 | Other | CA | SAFEGUARD INS |
| SD0085030 | Medicaid | CA | |
| 3636 | Other | CA | MEDICAL EYE SERVICES INS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT8503TPA (California) | Primary |
| Provider Name | Aloha Family Optometric Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285722694 PECOS PAC ID: 2264566355 Enrollment ID: O20100811000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rick Wayne Ideta, OD 7215 N 1st St, Ste 101, Fresno, CA 93720-2985 Ph: (559) 226-3937 | Dr Rick Wayne Ideta, OD 7215 N 1st St, Ste 101, Fresno, CA 93720-2985 Ph: (559) 226-3937 |
Dr. Scott Randall Hultman, O,D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3636 N Blackstone Ave, Fresno, CA 93726 Phone: 559-244-3319 | |
Dr. Thomas Pearson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 E Herndon Ave, Suite 401, Fresno, CA 93720 Phone: 559-449-5010 Fax: 559-449-5014 | |
Dr. Andrea Cristina Huerta, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 N Sharon Ave, Fresno, CA 93720 Phone: 559-486-2000 Fax: 559-256-8575 | |
Dr. David R Urien, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5430 N Palm Ave, Suite 101, Fresno, CA 93704 Phone: 559-432-0606 Fax: 559-432-0608 | |
Dr. Steven W. Shute, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7075 N Sharon Ave, Fresno, CA 93720 Phone: 559-486-2000 | |
Dr. Elmer Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6700 N 1st St, 103, Fresno, CA 93710 Phone: 559-438-6440 Fax: 559-438-4324 | |
Nick C Kazarian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5786 S Elm Ave, Fresno, CA 93706 Phone: 559-486-0731 Fax: 559-486-0122 |