Larry R Fabian & Jeffrey M Fanelli PTRS Westside Family Vision Center
A Medicare group practice based in San Jose, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3072542273), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3072542273
- Also listed as
- Larry R Fabian and Jeffrey M Fanelli PTRS Westside Family Vision Cente
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050808001188 | CA | Part B Supplier - Clinic/Group Practice | 1255406690 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Larry R Fabian & Jeffrey M Fanelli PTRS Westside Family Vision Center
- Optometrist
- Saratoga, CA
- NPI 1255406690
-
Larry R Fabian & Jeffrey M Fannelli PTRS Westside Family Vision Center
- Optometrist
- San Jose, CA
- NPI 1518061159
Practice locations
- San Jose, CA1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).
-
Mary Elizabeth Dougherty, OD
- Optometrist
- Saratoga, CA
- NPI 1215909064
-
Larry R Fabian, OD
- Optometrist
- San Jose, CA
- NPI 1104880129
-
Jeffrey M Fanelli, OD
- Optometrist
- San Jose, CA
- NPI 1831153881
-
Jenna Lace McBride, OD
- Optometrist
- Tigard, OR
- NPI 1952890097
-
Jeremy Wing-Leung Tsui, OD
- Optometrist
- Santa Clara, CA
- NPI 1609502715
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.