| Vanessa Jean Ewing, OD | |
|
3855 Broad St., Suite B, San Luis Obispo, CA 93401-7109 | |
| (805) 545-8100 | |
| (805) 548-8785 |
| Full Name | Vanessa Jean Ewing |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 17 Years |
| Location | 3855 Broad St., Suite B, San Luis Obispo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780874453 | NPI | - | NPPES |
| 7100100450 | Medicaid | KY | |
| 200908990 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003453A (Indiana) | Secondary |
| 152W00000X | Optometrist | OPT33920TLG (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Eye And Laser Centers Pllc | 6800709502 | 11 |
| Provider Name | Intermountain Eye And Laser Centers Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730119611 PECOS PAC ID: 6800709502 Enrollment ID: O20031110000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Jean Ewing, OD 3855 Broad St Ste B, San Luis Obispo, CA 93401-7109 Ph: (805) 545-8100 | Vanessa Jean Ewing, OD 3855 Broad St., Suite B, San Luis Obispo, CA 93401-7109 Ph: (805) 545-8100 |
Primary Eyecare Center, An Optometric Practice Optometrist Medicare: Medicare Enrolled Practice Location: 764 Santa Rosa St, San Luis Obispo, CA 93401 Phone: 805-543-1447 Fax: 805-543-4778 | |
Dr. Robert B Dirksen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3855 Broad Street, Suite B, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Dr. Scot Anthony Class, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3855 Broad Street, Ste B, San Luis Obispo, CA 93401 Phone: 805-545-8100 Fax: 805-548-8785 | |
Mariah Sibal, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11990 Los Osos Valley Rd, San Luis Obispo, CA 93405 Phone: 805-858-9914 Fax: 805-316-4113 | |
Kimberly D Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 628 California Blvd, Ste D, San Luis Obispo, CA 93401 Phone: 805-545-7881 Fax: 805-548-8785 | |
Dr. Charles Lee Tribbey, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 719 Higuera St, San Luis Obispo, CA 93401 Phone: 805-541-2333 Fax: 805-543-5795 | |
B Jeffrey Blue Od And Jason Chang Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1245 Broad St, San Luis Obispo, CA 93401 Phone: 805-542-0700 Fax: 805-784-9309 |