| Dr Samuel Alexander Mainieri, OD | |
| 200 Minor Ln, Berkeley, CA 94720-0001 | |
| (510) 642-2020 | |
| Not Available | 
| Full Name | Dr Samuel Alexander Mainieri | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 200 Minor Ln, Berkeley, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841975943 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OPT35518-TLG (California) | Primary | 
| 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 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Samuel Alexander Mainieri, OD 738 Promontory Ter, San Ramon, CA 94583-1564 Ph: (636) 284-8248 | Dr Samuel Alexander Mainieri, OD 200 Minor Ln, Berkeley, CA 94720-0001 Ph: (510) 642-2020 | 
| Dr. Carl H. Jacobsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720 Phone: 510-643-9826 Fax: 510-642-4025 | |
| Nancy Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: University Of California School Of Optometry, 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-0945 | |
| Annie Chang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1931 Dwight Way, Apt 20, Berkeley, CA 94704 Phone: 310-619-1266 | |
| Dr. John Corzine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Minor Hall, University Of California, Berkeley, CA 94720 Phone: 510-643-2793 Fax: 510-643-5109 | |
| Dr. Ghazal Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Anne Tasaki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Daphne Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-642-0945 |