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6160 Arlington Ave Ste C1, Riverside, CA 92504-1943 | |
| (951) 977-8635 | |
| (951) 977-8637 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6160 Arlington Ave Ste C1, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326176199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11729T (California) | Primary |
| Provider Name | Thao Thanh Pham-diaz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346378114 PECOS PAC ID: 1355775875 Enrollment ID: I20191217000544 |
| Mailing Address | Practice Location Address |
|---|---|
6160 Arlington Ave Ste C1, Riverside, CA 92504-1943 Ph: (951) 977-8635 | 6160 Arlington Ave Ste C1, Riverside, CA 92504-1943 Ph: (951) 977-8635 |
Lauren Nghia Tang, O.d. Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10440 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2020 Fax: 951-637-1858 | |
Karen Wu, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2755 Canyon Springs Pkwy, Riverside, CA 92507 Phone: 951-901-0805 | |
Ms. Janet Elizabeth Kohtz, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6700 Indiana Ave, Suite 155, Riverside, CA 92506 Phone: 951-682-1600 Fax: 951-682-1680 | |
Dr. Andrew Price, OD, MS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2755 Canyon Springs Pkwy, Riverside, CA 92507 Phone: 951-988-2020 Fax: 951-382-6226 | |
Dr Harold Krajian Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9496 Magnolia Ave, 102, Riverside, CA 92503 Phone: 951-687-5312 Fax: 951-359-0430 | |
Sarah Quan, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9041 Magnolia Ave, Riverside, CA 92503 Phone: 951-777-2210 | |
Mary G Cavanaugh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 |