| Palo Cedro Optometry | |
|
9372 Deschutes Rd, Palo Cedro, CA 96073-9763 | |
| (530) 547-2020 | |
| (530) 547-2101 |
| Full Name | Palo Cedro Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9372 Deschutes Rd, Palo Cedro, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942469028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 7249 TPL (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Palo Cedro Optometry 9372 Deschutes Rd, Palo Cedro, CA 96073-9763 Ph: (530) 547-2020 | Palo Cedro Optometry 9372 Deschutes Rd, Palo Cedro, CA 96073-9763 Ph: (530) 547-2020 |
Palo Cedro Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9372 Deschutes Rd, Palo Cedro, CA 96073 Phone: 530-547-2020 Fax: 530-547-2101 |
Dr. Jeffrey C Kossol, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9372 Deschutes Rd, Palo Cedro, CA 96073 Phone: 530-547-2020 Fax: 530-547-2101 |