| Corben Optometry Inc | |
|
23206 Lyons Ave Ste 102, Newhall, CA 91321-2671 | |
| (661) 259-2168 | |
| (661) 259-3568 |
| Full Name | Corben Optometry Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 23206 Lyons Ave Ste 102, Newhall, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801910096 | NPI | - | NPPES |
| 1912011560 | Other | CA | NPI |
| 1043297666 | Other | CA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4954T (California) | Primary |
| Provider Name | Michael A Corben |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043297666 PECOS PAC ID: 2567543937 Enrollment ID: I20080111000476 |
| Provider Name | Joshua A Corben |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912011560 PECOS PAC ID: 2668553686 Enrollment ID: I20080116000323 |
| Provider Name | Sheila Tehrani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073814976 PECOS PAC ID: 8325361173 Enrollment ID: I20141230002712 |
| Provider Name | Kyle Robert Brewer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811329824 PECOS PAC ID: 0749406114 Enrollment ID: I20170505001726 |
| Mailing Address | Practice Location Address |
|---|---|
| Corben Optometry Inc 23206 Lyons Ave Ste 102, Newhall, CA 91321-2671 Ph: (661) 259-2168 | Corben Optometry Inc 23206 Lyons Ave Ste 102, Newhall, CA 91321-2671 Ph: (661) 259-2168 |
Dr. Michael A Corben, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23206 Lyons Ave, Suite 102, Newhall, CA 91321 Phone: 661-259-2168 | |
Doctors Matthew Alpert And Joshua Corben Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 23206 Lyons Ave Ste 102, Newhall, CA 91321 Phone: 661-904-7896 | |
Dr. Joshua Adam Corben, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23206 Lyons Ave, Suite 102, Newhall, CA 91321 Phone: 661-259-2168 Fax: 661-259-3568 |