| San Pablo Optometric Center, Inc. | |
|
14240 San Pablo Ave, San Pablo, CA 94806-3328 | |
| (510) 232-3060 | |
| (510) 232-0377 |
| Full Name | San Pablo Optometric Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14240 San Pablo Ave, San Pablo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184882250 | NPI | - | NPPES |
| SD0012274 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 12274T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| San Pablo Optometric Center, Inc. 14240 San Pablo Ave, San Pablo, CA 94806-3328 Ph: (510) 232-3060 | San Pablo Optometric Center, Inc. 14240 San Pablo Ave, San Pablo, CA 94806-3328 Ph: (510) 232-3060 |
David W. Tam Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13741 San Pablo Ave, San Pablo, CA 94806 Phone: 510-233-2875 Fax: 510-233-2875 | |
Gaganjot K Sidhu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1230 Summer Ln, San Pablo, CA 94806 Phone: 510-374-0695 | |
Juan Pablo Anaya, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14240 San Pablo Ave, San Pablo, CA 94806 Phone: 510-232-3060 Fax: 510-232-0377 |