| Tarik Issam Dabit, | |
|
4000 Civic Center Dr Ste 200a, San Rafael, CA 94903-5233 | |
| (650) 219-1659 | |
| Not Available |
| Full Name | Tarik Issam Dabit |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4000 Civic Center Dr Ste 200a, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447825021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 34845 (California) | Secondary |
| 152W00000X | Optometrist | OPT34845-TLG (California) | Primary |
| Provider Name | Kevin Tan Md And Productions Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659752319 PECOS PAC ID: 2961712666 Enrollment ID: O20151110000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarik Issam Dabit, 4000 Civic Center Dr Ste 200a, San Rafael, CA 94903-5233 Ph: () - | Tarik Issam Dabit, 4000 Civic Center Dr Ste 200a, San Rafael, CA 94903-5233 Ph: (650) 219-1659 |
Christine Yim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Civic Center Dr Ste 200a, San Rafael, CA 94903 Phone: 415-519-6582 | |
Dr. Ronald Santiago Garcia, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1436 4th St, San Rafael, CA 94901 Phone: 415-454-0354 Fax: 415-454-0497 | |
Dr. Crizelda Lauron, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4000 Civic Center Dr, Suite 200a, San Rafael, CA 94903 Phone: 415-444-0300 | |
Sabrina N Stilwell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1033 3rd St, San Rafael, CA 94901 Phone: 415-482-6826 | |
Lumina Optometry Incorporated Optometrist Medicare: Medicare Enrolled Practice Location: 1924 4th St Ste C, San Rafael, CA 94901 Phone: 415-457-2020 Fax: 415-457-2047 | |
Leung Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9000 Northgate Mall, San Rafael, CA 94903 Phone: 415-507-2364 | |
Dr. Katherine Marjorie Stout-bautista, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1033 3rd St, San Rafael, CA 94901 Phone: 415-482-6826 Fax: 415-482-6726 |