| Thousand Oaks Family Optometry | |
| 
					518 N Moorpark Rd, Thousand Oaks, CA 91360-3703  | |
| (805) 373-9911 | |
| Not Available | 
| Full Name | Thousand Oaks Family Optometry | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 518 N Moorpark Rd, Thousand Oaks, California | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962901975 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 14183TLG (California) | Primary | 
| Provider Name | Kathryn A Fallon Mijailovic | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1659436426 PECOS PAC ID: 4981865706 Enrollment ID: I20120420000603  | 
| Provider Name | Steven R Henteleff | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1538152707 PECOS PAC ID: 3577708247 Enrollment ID: I20130328000529  | 
| Provider Name | Dikran Wanes Sarkis | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1205123155 PECOS PAC ID: 8921361148 Enrollment ID: I20180420001136  | 
| Provider Name | Sara Kaz | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1487087474 PECOS PAC ID: 6800132259 Enrollment ID: I20190107002295  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thousand Oaks Family Optometry 518 N Moorpark Rd, Thousand Oaks, CA 91360-3703 Ph: () -  | Thousand Oaks Family Optometry 518 N Moorpark Rd, Thousand Oaks, CA 91360-3703 Ph: (805) 373-9911  | 
Gina C Shao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2322 E Thousand Oaks Blvd, Thousand Oaks, CA 91362 Phone: 805-557-1055  | |
Dr. Paul Alan Snyder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2125 E Thousand Oaks Blvd, Suite A, Thousand Oaks, CA 91362 Phone: 805-497-7373  | |
Lori Ashley Bailey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2125 E. Thousand Oaks Blvd, Thousand Oaks, CA 91362 Phone: 805-497-7373  | |
Dr. Rachel M Gannam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 155 E Wilbur Rd Ste 101, Thousand Oaks, CA 91360 Phone: 805-497-7840 Fax: 805-373-0577  | |
James B Mayer Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 N Rancho Rd Ste 1, Thousand Oaks, CA 91362 Phone: 805-495-3937 Fax: 805-373-9843  | |
Dr. Lisa Fontaine, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 145 W. Hillcrest Dr., Thousand Oaks, CA 91360 Phone: 805-496-9059  | |
Dr. Jason C Griffith, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 W Hillcrest Dr, Suite 112, Thousand Oaks, CA 91360 Phone: 805-497-6964  |