| John E Bokosky Md Facs Inc | |
|
3939 3rd Ave, San Diego, CA 92103-3002 | |
| (619) 296-8525 | |
| (619) 692-0229 |
| Full Name | John E Bokosky Md Facs Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3939 3rd Ave, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366429441 | NPI | - | NPPES |
| GR0092690 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Asa D Morton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780669283 PECOS PAC ID: 6204873235 Enrollment ID: I20050412000522 |
| Provider Name | Neil T Choplin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144205642 PECOS PAC ID: 4486692043 Enrollment ID: I20050422001043 |
| Provider Name | Sara Julazadeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952592768 PECOS PAC ID: 9436230729 Enrollment ID: I20080111000632 |
| Provider Name | John Edward Bokosky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245215748 PECOS PAC ID: 2769454230 Enrollment ID: I20080328000761 |
| Provider Name | Philip Taunton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871570945 PECOS PAC ID: 4880738467 Enrollment ID: I20100219000695 |
| Provider Name | Thomas James Avallone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679865950 PECOS PAC ID: 2860760386 Enrollment ID: I20170623002078 |
| Mailing Address | Practice Location Address |
|---|---|
| John E Bokosky Md Facs Inc 3939 3rd Ave, San Diego, CA 92103-3002 Ph: (619) 296-8525 | John E Bokosky Md Facs Inc 3939 3rd Ave, San Diego, CA 92103-3002 Ph: (619) 296-8525 |