| Tania Mantua & Matt H Siu Od A Professional Corporation | |
|
7075 Redwood Blvd Ste F, Novato, CA 94945-4136 | |
| (415) 897-2997 | |
| (415) 898-3626 |
| Full Name | Tania Mantua & Matt H Siu Od A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7075 Redwood Blvd Ste F, Novato, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376762229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8008T (California) | Primary |
| Provider Name | Lora Pond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972537124 PECOS PAC ID: 6305030461 Enrollment ID: I20110601000445 |
| Provider Name | Tania Marie Mantua |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053337097 PECOS PAC ID: 8022286095 Enrollment ID: I20110718000486 |
| Provider Name | Matt Hung Siu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255783106 PECOS PAC ID: 5799052494 Enrollment ID: I20200212001601 |
| Provider Name | Christie Muir Mackenzie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124478128 PECOS PAC ID: 7416220504 Enrollment ID: I20200408000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Tania Mantua & Matt H Siu Od A Professional Corporation 7075 Redwood Blvd Ste F, Novato, CA 94945-4136 Ph: (415) 897-2997 | Tania Mantua & Matt H Siu Od A Professional Corporation 7075 Redwood Blvd Ste F, Novato, CA 94945-4136 Ph: (415) 897-2997 |
Dr. Tania M. Mantua, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 Redwood Blvd Ste F, Novato, CA 94945 Phone: 415-897-2997 Fax: 415-898-3626 | |
Ecs Of Bay Area North Optometry Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 440 Ignacio Blvd, Novato, CA 94949 Phone: 618-462-9818 | |
E Craig Mccurdy, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1730 Novato Blvd, Suite C, Novato, CA 94947 Phone: 415-897-1161 Fax: 415-899-9871 | |
Suzanne D Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1300 Grant Ave, #102, Novato, CA 94945 Phone: 415-898-2320 Fax: 415-892-7000 | |
Matt Siu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 Redwood Blvd, Ste F, Novato, CA 94945 Phone: 415-897-2997 | |
Jasmine Huanjing Chen O.d. A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 208 Vintage Way, Suite K21, Novato, CA 94945 Phone: 415-897-3377 | |
Dr. Dennis Lane Palm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7559 Fax: 415-899-7513 |