| Krupa Tailor Od A Professional Corporation | |
|
217 E Lake Ave, Watsonville, CA 95076-4716 | |
| (831) 724-3823 | |
| (831) 724-2605 |
| Full Name | Krupa Tailor Od A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 217 E Lake Ave, Watsonville, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568062248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Krupa Tailor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063897536 PECOS PAC ID: 8224343785 Enrollment ID: I20200819003431 |
| Provider Name | Alexis Winn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891974101 PECOS PAC ID: 0143615377 Enrollment ID: I20220324001669 |
| Mailing Address | Practice Location Address |
|---|---|
| Krupa Tailor Od A Professional Corporation 217 E Lake Ave, Watsonville, CA 95076-4716 Ph: (831) 724-3823 | Krupa Tailor Od A Professional Corporation 217 E Lake Ave, Watsonville, CA 95076-4716 Ph: (831) 724-3823 |
Krupa Tailor, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 217 E Lake Ave, Watsonville, CA 95076 Phone: 318-724-3823 | |
Dr. Stuart Makoto Sakuma, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1858 Main St, Watsonville, CA 95076 Phone: 831-724-2258 | |
Dr. Thomas Scott Suzuki, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 53 Aspen Way, Watsonville, CA 95076 Phone: 831-724-1097 Fax: 831-724-6364 | |
Green Valley Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 386 South Green Valley Road, Suite 2, Watsonville, CA 95076 Phone: 831-724-1063 Fax: 831-724-1067 | |
Dr. Juliette N. Le, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1858 Main St, Watsonville, CA 95076 Phone: 831-724-2258 | |
Dr. Corwyn Alfred Mosiman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 386 S Green Valley Rd, Watsonville, CA 95076 Phone: 831-724-1063 Fax: 831-724-1067 |