| H Jack Fennel O.d. | |
|
1031 Washington St, Red Bluff, CA 96080-2746 | |
| (530) 527-2211 | |
| (530) 527-7412 |
| Full Name | H Jack Fennel O.d. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1031 Washington St, Red Bluff, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164559084 | NPI | - | NPPES |
| SD0081890 | Medicaid | CA | |
| SD0051140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8189T (California) | Secondary |
| 152W00000X | Optometrist | 5114T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| H Jack Fennel O.d. 1031 Washington St, Red Bluff, CA 96080-2746 Ph: () - | H Jack Fennel O.d. 1031 Washington St, Red Bluff, CA 96080-2746 Ph: (530) 527-2211 |
Northridge Eye Care, A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 530 Main St, Red Bluff, CA 96080 Phone: 530-529-1750 Fax: 530-529-4551 | |
Dr. Stacy Catherine Cullum, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 530 Main St, Red Bluff, CA 96080 Phone: 530-529-1750 | |
Dr. Garry D. Fish, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 444 Union St, Red Bluff, CA 96080 Phone: 530-527-8777 | |
Aurora V Barriga, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 Jackson St, Suite A, Red Bluff, CA 96080 Phone: 530-527-9242 Fax: 530-527-2401 | |
Mrs. Tami Loraine Wallan, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 530 Main St, Red Bluff, CA 96080 Phone: 530-529-1750 Fax: 530-435-6074 | |
Dr. Alicia Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 530 Main St, Red Bluff, CA 96080 Phone: 530-529-1750 |