| Mr Brian Edward Elliott, OD | |
|
6331 Jackson Ave, Riverbank, CA 95367 | |
| (209) 869-3300 | |
| (209) 869-8809 |
| Full Name | Mr Brian Edward Elliott |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 6331 Jackson Ave, Riverbank, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760566434 | NPI | - | NPPES |
| SD0094401 | Medicaid | CA | |
| 0723780001 | Other | CA | MEDICARE DME PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9440T (California) | Primary |
| Provider Name | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760558498 PECOS PAC ID: 0547309312 Enrollment ID: O20091208000443 |
| Provider Name | Modesto Optometric Vision Center Inc a Professional Optometric Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891415410 PECOS PAC ID: 4284009093 Enrollment ID: O20230410001463 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Edward Elliott, OD 6331 Jackson Ave, Riverbank, CA 95367-2733 Ph: (209) 869-3300 | Mr Brian Edward Elliott, OD 6331 Jackson Ave, Riverbank, CA 95367 Ph: (209) 869-3300 |
Riverbank Optometric Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6331 Jackson Ave, Riverbank, CA 95367 Phone: 209-869-3300 Fax: 209-869-8809 |