| Vallejo Optometry Group | |
|
2103 Redwood St, Suite 100, Vallejo, CA 94590-3608 | |
| (707) 554-1773 | |
| (707) 554-1782 |
| Full Name | Vallejo Optometry Group |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2103 Redwood St, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285771592 | NPI | - | NPPES |
| ZZZ00757Z | Other | CA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10544 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vallejo Optometry Group 2103 Redwood St, Suite 100, Vallejo, CA 94590-3608 Ph: (707) 554-1773 | Vallejo Optometry Group 2103 Redwood St, Suite 100, Vallejo, CA 94590-3608 Ph: (707) 554-1773 |
Gary Duane Maas, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 675 Sereno Dr., Vallejo, CA 94589 Phone: 707-651-2990 Fax: 707-651-2948 | |
Laura E Schrupp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2852 Redwood Pkwy, Vallejo, CA 94591 Phone: 707-553-8222 Fax: 707-553-1154 | |
Dr. Keith Daniel Kamei, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 198 Plaza Dr, Vallejo, CA 94591 Phone: 707-552-0602 | |
Dr. Walter Lewis Balding, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2585 Fax: 707-651-2948 | |
Arthur Jinyoung Park, OD Optometrist Medicare: Medicare Enrolled Practice Location: 173 Plaza Dr, Vallejo, CA 94591 Phone: 707-917-4053 | |
Anyika Butterfly, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Kaiser Permanente, Vallejo, CA 94589 Phone: 707-651-1085 | |
Mr. Thomas C Cushing, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2852 Redwood Pkwy, Vallejo, CA 94591 Phone: 707-553-8222 Fax: 707-553-1154 |