| Michael Edward Poblete, OD | |
|
4355 Phelan Rd, Phelan, CA 92371-7675 | |
| (760) 868-2020 | |
| Not Available |
| Full Name | Michael Edward Poblete |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4355 Phelan Rd, Phelan, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164196820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 34876 (California) | Primary |
| Provider Name | Bryan D. Vanesian Od A Professional Optometry Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437312832 PECOS PAC ID: 4880753359 Enrollment ID: O20081113000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Edward Poblete, OD 4355 Phelan Rd, Phelan, CA 92371-7675 Ph: () - | Michael Edward Poblete, OD 4355 Phelan Rd, Phelan, CA 92371-7675 Ph: (760) 868-2020 |
Dr. Bryan Dean Vanesian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4355 Phelan Rd, Phelan, CA 92371 Phone: 760-868-2020 Fax: 760-868-4225 | |
Bryan D. Vanesian Od A Professional Optometry Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 4355 Phelan Rd, Phelan, CA 92371 Phone: 760-868-2020 | |
Dr. Dena Thamsopit, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4355 Phelan Rd, Phelan, CA 92371 Phone: 760-868-2020 Fax: 760-868-7675 | |
Dr. Jesse Michael Wetzel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4355 Phelan Rd, Phelan, CA 92371 Phone: 760-868-2020 |