| Mark A. Jury Optometric Professional Corporation | |
|
23905 Clinton Keith Road, Suite 115, Wildomar, CA 92595-7899 | |
| (951) 304-9733 | |
| (951) 304-9734 |
| Full Name | Mark A. Jury Optometric Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 23905 Clinton Keith Road, Suite 115, Wildomar, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033293592 | NPI | - | NPPES |
| SD0095830 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9583 T (California) | Primary |
| Provider Name | Mark Alan Jury |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477578458 PECOS PAC ID: 2961453220 Enrollment ID: I20050204000402 |
| Provider Name | Steven Downs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619451713 PECOS PAC ID: 6002153202 Enrollment ID: I20190125001958 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Jury Optometric Professional Corporation 23905 Clinton Keith Road, Suite 115, Wildomar, CA 92595-7899 Ph: (951) 304-9733 | Mark A. Jury Optometric Professional Corporation 23905 Clinton Keith Road, Suite 115, Wildomar, CA 92595-7899 Ph: (951) 304-9733 |
Tan D. Vu Od, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 34859 Fredrick Street, Suite 109, Wildomar, CA 92595 Phone: 951-678-7690 Fax: 951-837-4816 | |
Mark A Jury, Od A Optometric Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23905 Clinton Keith Rd, Ste #115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 866-741-5945 | |
Mark Alan Jury, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23905 Clinton Keith Rd, Suite115, Wildomar, CA 92595 Phone: 951-304-9733 | |
Dr. Brian Lemoyne Parker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23905 Clinton Keith Rd, Ste 115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 866-741-5945 | |
Bear Creek Eye Care Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 36330 Hidden Springs Rd Ste A, Wildomar, CA 92595 Phone: 951-609-9099 | |
Dr Emelline Chen Od Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 36330 Hidden Springs Rd Ste A, Wildomar, CA 92595 Phone: 909-632-8416 |