| 4s Optometric Group | |
|
10531 4s Commons Dr Ste 168, San Diego, CA 92127-3517 | |
| (858) 675-2020 | |
| (858) 675-2036 |
| Full Name | 4s Optometric Group |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 10531 4s Commons Dr Ste 168, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881944262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11909T (California) | Primary |
| Provider Name | Keith M Wan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235181165 PECOS PAC ID: 0143224584 Enrollment ID: I20060828000151 |
| Provider Name | Jay M Mashouf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346294584 PECOS PAC ID: 6507860947 Enrollment ID: I20060828000176 |
| Provider Name | Andrew Joseph Fasciani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508179979 PECOS PAC ID: 1052435583 Enrollment ID: I20100903000771 |
| Provider Name | Natalie Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972501591 PECOS PAC ID: 2860707593 Enrollment ID: I20150819006554 |
| Provider Name | Tiffany C Turner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194123943 PECOS PAC ID: 5496064099 Enrollment ID: I20191125002873 |
| Mailing Address | Practice Location Address |
|---|---|
| 4s Optometric Group 10531 4s Commons Dr Ste 168, San Diego, CA 92127-3517 Ph: (858) 675-2020 | 4s Optometric Group 10531 4s Commons Dr Ste 168, San Diego, CA 92127-3517 Ph: (858) 675-2020 |
Dr. Dora Doan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Optometry Department, San Diego, CA 92105 Phone: 619-961-0803 Fax: 619-269-1257 | |
Allen Chung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9460 Mira Mesa Blvd Ste A, San Diego, CA 92126 Phone: 858-566-1756 Fax: 858-566-1845 | |
Hoang Minh Ho, O.d, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4840 Shawline St, San Diego, CA 92111 Phone: 858-560-5742 | |
Loan Yen Huynh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5175 Waring Rd, San Diego, CA 92120 Phone: 619-583-1000 | |
Brenda J Swiderski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6945 El Cajon Blvd, San Diego, CA 92115 Phone: 619-697-4600 Fax: 619-464-5526 | |
Dr. Lori Johnson Bende, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4009 Governor Dr, San Diego, CA 92122 Phone: 858-453-0444 | |
Dr. Lisa M Galstian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7770 Regents Rd, Suite 104, San Diego, CA 92122 Phone: 858-546-1940 Fax: 858-546-0940 |