| Elysia Ison, OD | |
|
Us Hwy 491 North, Shiprock, NM 87420 | |
| (505) 368-6001 | |
| Not Available |
| Full Name | Elysia Ison |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | Us Hwy 491 North, Shiprock, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467944041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 34112TLG (California) | Primary |
| 152W00000X | Optometrist | OPT.0003406 (Colorado) | Secondary |
| Provider Name | Dhhs Phs Naihs Shiprock Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
| Mailing Address | Practice Location Address |
|---|---|
| Elysia Ison, OD 825 Pollard Rd, Ste 208, Los Gatos, CA 95032-1435 Ph: (505) 368-6001 | Elysia Ison, OD Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
Kimberly Martocci, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Us-491, Shiprock, NM 87420 Phone: 505-368-6001 | |
John D Fugate, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491north, Northern Navajo Medical Center, Shiprock, NM 87420 Phone: 505-368-7038 | |
Shannon H Lee, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Hwy 491 North, Northern Navajo Medical Center Optometry Dept, Shiprock, NM 87420 Phone: 505-368-6001 | |
Kia Yang, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7411 | |
Leslie A Meyer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Us Highway 491 North, Shiprock, NM 87420 Phone: 505-368-7115 | |
Anjali Nicole Paramanandam, OD Optometrist Medicare: Medicare Enrolled Practice Location: Us-491, Shiprock, NM 87420 Phone: 505-368-6001 |