| Henry D'antonio, OD | |
| 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2993 | |
| (909) 337-4310 | |
| (909) 336-5937 | 
| Full Name | Henry D'antonio | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 29099 Hospital Rd, Lake Arrowhead, California | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366558314 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 40780 (California) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Henry D'antonio, OD Po Box 2993, Lake Arrowhead, CA 92352-2993 Ph: (909) 337-4310 | Henry D'antonio, OD 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2993 Ph: (909) 337-4310 | 
| Kieth J. Burkart, O.d., A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352 Phone: 909-337-4310 Fax: 909-336-5937 | |
| Dr. Kieth J Burkart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352 Phone: 909-337-4310 Fax: 909-336-5937 |