| Somerton Eyecare Center Inc | |
|
725 E. Main St., Suite 1c, Somerton, AZ 85350-0634 | |
| (928) 627-4525 | |
| Not Available |
| Full Name | Somerton Eyecare Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 725 E. Main St., Somerton, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306981386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1210 (Arizona) | Primary |
| Provider Name | Jesse V Dominguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669789814 PECOS PAC ID: 8022293547 Enrollment ID: I20110427000588 |
| Provider Name | Jacob Richard Bromley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992310312 PECOS PAC ID: 6608296579 Enrollment ID: I20201014001543 |
| Mailing Address | Practice Location Address |
|---|---|
| Somerton Eyecare Center Inc Po Box 634, Somerton, AZ 85350-0634 Ph: () - | Somerton Eyecare Center Inc 725 E. Main St., Suite 1c, Somerton, AZ 85350-0634 Ph: (928) 627-4525 |
Dr. Jesse Vincent Dominguez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 E. Main St., Suite 1c, Somerton, AZ 85350 Phone: 928-627-4525 Fax: 928-627-4524 | |
Jacob Richard Bromley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 E Main St, Apt #1c, Somerton, AZ 85350 Phone: 928-627-4525 |