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47474 Washington St, La Quinta, CA 92253-8846 | |
| (760) 564-2500 | |
| (760) 564-2577 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 47474 Washington St, La Quinta, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154862647 | NPI | - | NPPES |
| 1114205432 | Medicaid | CA | |
| FQ161A | Other | CA | MCR(S) |
| FQ161B | Other | CA | MCR(N) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 174400000X | Specialist | (California) | Secondary |
| 207W00000X | Ophthalmology | (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
100 E California Blvd, Pasadena, CA 91105-3205 Ph: () - | 47474 Washington St, La Quinta, CA 92253-8846 Ph: (760) 564-2500 |
Dr. Thanh-vi Le Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 79710 Highway 111 Ste 101, La Quinta, CA 92253 Phone: 760-342-6900 Fax: 760-841-5403 | |
Dr. William H Kiernan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 46-660 Washington St, Suite 3, La Quinta, CA 92253 Phone: 760-564-2113 Fax: 760-564-2114 | |
Dr. Calvin Sun, OD Optometrist Medicare: Medicare Enrolled Practice Location: 46660 Washington St Ste 3, La Quinta, CA 92253 Phone: 760-564-9944 | |
Dr. Michell Kim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 79710 Highway 111 Ste 101, La Quinta, CA 92253 Phone: 760-342-6900 Fax: 760-841-5403 |