| Peter N Brudner, OD | |
| 
					425 W Central Ave, Lompoc, CA 93436-2805  | |
| (805) 736-2020 | |
| (805) 737-1733 | 
| Full Name | Peter N Brudner | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 425 W Central Ave, Lompoc, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811990633 | NPI | - | NPPES | 
| 1312330002 | Other | CA | MEDICARE DMERC | 
| SD0079240 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OPT7924T (California) | Primary | 
| Provider Name | Elite Eyecare Medical Group A Medical Corporation | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1437117231 PECOS PAC ID: 5597715391 Enrollment ID: O20050128000937  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peter N Brudner, OD 910 E Stowell Rd, Santa Maria, CA 93454-7001 Ph: (805) 925-2637  | Peter N Brudner, OD 425 W Central Ave, Lompoc, CA 93436-2805 Ph: (805) 736-2020  | 
Steven M Kleen Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826  | |
Daniel R. Taketa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 E Ocean Ave, Lompoc, CA 93436 Phone: 805-736-7010 Fax: 805-736-7589  | |
Pinhkeo Southaphanh O D Inc Optometrist Medicare: Medicare Enrolled Practice Location: 415 E Ocean Ave Ste B, Lompoc, CA 93436 Phone: 805-819-0742 Fax: 805-741-7367  | |
Clear Vision Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 E Ocean Ave Ste B, Lompoc, CA 93436 Phone: 805-819-0742 Fax: 805-741-7367  | |
Dr. Steven Matthew Kleen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826  | |
Dr. David Earl Bowin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 W Central Ave, Lompoc, CA 93436 Phone: 805-736-2020  | |
Pinhkeo Southaphanh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 E Ocean Ave, Ste B, Lompoc, CA 93436 Phone: 805-682-9417  |