| Stephen J Ingman Od | |
|
11879 Kemper Rd, Ste 6, Auburn, CA 95603-9021 | |
| (530) 823-5411 | |
| (530) 823-5380 |
| Full Name | Stephen J Ingman Od |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11879 Kemper Rd, Auburn, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417992843 | NPI | - | NPPES |
| P00742598 | Other | CA | RAILROAD MEDICARE PART B |
| 2820714 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6466T (California) | Primary |
| Provider Name | Stephen Ingman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811178395 PECOS PAC ID: 2062591308 Enrollment ID: I20080512000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Ingman Od 11879 Kemper Rd, Ste 6, Auburn, CA 95603-9021 Ph: (530) 823-5411 | Stephen J Ingman Od 11879 Kemper Rd, Ste 6, Auburn, CA 95603-9021 Ph: (530) 823-5411 |
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