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NPI Code Detail

MEDICARE: MOUNTAIN VIEW OPTOMETRY AND CONTACT LENS CLINIC

MEDICARE: MOUNTAIN VIEW OPTOMETRY AND CONTACT LENS CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932156122
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN VIEW OPTOMETRY AND CONTACT LENS CLINIC
Provider Business Mailing Address
First Line : 495 CASTRO ST
Second Line : SUITE 200
City : MOUNTAIN VIEW
State : CA
Zip : 94041-2086
Country : US
Telephone Number : 650-967-6649
Fax Number : 650-967-0237
Provider Business Practice Location Address
First Line : 495 CASTRO ST
Second Line : SUITE 200
City : MOUNTAIN VIEW
State : CA
Zip : 94041-2086
Country : US
Telephone Number : 650-967-6649
Fax Number : 650-967-0237
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. KENNETH N SCHWADERER
Credential : OD
Telephone Number : 650-967-6649
Provider Enumeration Date : 05/31/2006
Last Update Date : 02/04/2008

Similar Medicare Providers

1497729362 — LINDA K HUR OD
Practice Location Address:
495 CASTRO STREET , MOUNTAIN VIEW OPTOMETRY AND CONTACT LENS CLINIC
MOUNTAIN VIEW, CA
94041-2086
Practice Phone: 650-967-6649
Practice Fax: 650-967-0237
1063486009 — ELLEN SZETO OD
Practice Location Address:
495 CASTRO ST , MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC
MOUNTAIN VIEW, CA
94041-2086
Practice Phone: 650-967-6649
Practice Fax: 650-967-0237
1669448924 — BARBORA G BELL OD
Practice Location Address:
495 CASTRO ST , MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC
MOUNTAIN VIEW, CA
94041-2086
Practice Phone: 650-967-6649
Practice Fax: 650-967-0237
1386610657 — DR. KENNETH N SCHWADERER OD
Practice Location Address:
495 CASTRO ST , MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC
MOUNTAIN VIEW, CA
94041-2086
Practice Phone: 650-967-6649
Practice Fax: 650-967-0237
1912973280 — DEBORAH ANN RHEAM OD
Practice Location Address:
495 CASTRO ST , MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC
MOUNTAIN VIEW, CA
94041-2086
Practice Phone: 650-967-6649
Practice Fax: 650-967-0237
1548405335 — DR. AUDREY V LOUIE O.D.
Practice Location Address:
495 CASTRO ST
MOUNTAIN VIEW, CA
94041-2086
Practice Phone: 650-967-6649
Practice Fax: 650-967-0237

Directions to “MOUNTAIN VIEW OPTOMETRY AND CONTACT LENS CLINIC ” Practice Location

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