| 17th Street Optometry Apc | |
|
17300 17th St Ste M, Tustin, CA 92780-1955 | |
| (714) 838-9664 | |
| (714) 838-6774 |
| Full Name | 17th Street Optometry Apc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 17300 17th St Ste M, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891268678 | NPI | - | NPPES |
| Provider Name | Karen T Wakayama |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295775047 PECOS PAC ID: 7214928787 Enrollment ID: I20040521001385 |
| Provider Name | Cynthia K. Broady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154452118 PECOS PAC ID: 9133267172 Enrollment ID: I20091111000300 |
| Provider Name | Alexander Tyler Elson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073962163 PECOS PAC ID: 5597052779 Enrollment ID: I20161003001880 |
| Mailing Address | Practice Location Address |
|---|---|
| 17th Street Optometry Apc 17300 17th St Ste M, Tustin, CA 92780-1955 Ph: (714) 838-9664 | 17th Street Optometry Apc 17300 17th St Ste M, Tustin, CA 92780-1955 Ph: (714) 838-9664 |
Dr. Lori Shim Yoo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2831 Park Ave, Tustin, CA 92782 Phone: 714-258-7525 Fax: 714-258-8489 | |
Natasha Mitchell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2521 Michelle Dr, Tustin, CA 92780 Phone: 833-574-2273 | |
Dr. Brett Patrick Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1101 Bryan Ave, Ste. A-1, Tustin, CA 92780 Phone: 714-544-4810 Fax: 714-368-9154 | |
Dr. Darren M Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 190 El Camino Real, Tustin, CA 92780 Phone: 714-669-1121 Fax: 714-669-9786 | |
Dr. William B Stanford, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 190 El Camino Real, Tustin, CA 92780 Phone: 714-669-1121 Fax: 714-669-9786 | |
Dr. Alexander Tyler Elson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17300 17th St, #m, Tustin, CA 92780 Phone: 714-838-9664 | |
Dr. Kelly Hien Tran, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 2923 El Camino Real, Tustin, CA 92782 Phone: 714-731-0215 Fax: 714-731-2858 |