Atlantis Eyecare | |
947 S. Anaheim Blvd, Suite 120, Anaheim, CA 92805-5590 | |
(714) 821-4666 | |
(714) 533-6800 |
Full Name | Atlantis Eyecare |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 947 S. Anaheim Blvd, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437181930 | NPI | - | NPPES |
W14969E | Other | CA | GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Dwayne K Logan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164520714 PECOS PAC ID: 9436119419 Enrollment ID: I20041110000495 |
Provider Name | David M Choi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912981598 PECOS PAC ID: 2062519861 Enrollment ID: I20070511000487 |
Provider Name | Anthony A Huynh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073611885 PECOS PAC ID: 8729186150 Enrollment ID: I20070608000500 |
Provider Name | Richard Casey |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609890797 PECOS PAC ID: 6901709310 Enrollment ID: I20110105000017 |
Provider Name | Claudia Montana-collins |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669558557 PECOS PAC ID: 1052575834 Enrollment ID: I20120606000586 |
Provider Name | Janet K Kim |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1336374123 PECOS PAC ID: 7719128123 Enrollment ID: I20130729000125 |
Provider Name | Mimi A Phan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598187924 PECOS PAC ID: 8325264864 Enrollment ID: I20140718001760 |
Provider Name | Anne Grattan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972945913 PECOS PAC ID: 9537389903 Enrollment ID: I20141007000910 |
Provider Name | Meggie N Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649552548 PECOS PAC ID: 9436467792 Enrollment ID: I20180411000509 |
Provider Name | Huong Hoai Dang Le |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750894630 PECOS PAC ID: 8921351024 Enrollment ID: I20181018002373 |
Provider Name | Paymohn Mahdavi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295095669 PECOS PAC ID: 9234401043 Enrollment ID: I20190805001886 |
Provider Name | Myles I Brookman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063874139 PECOS PAC ID: 5092135533 Enrollment ID: I20201021002326 |
Provider Name | Sharon Weiya Lei |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407524119 PECOS PAC ID: 7113324070 Enrollment ID: I20210921001147 |
Provider Name | Samira Khan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1679736672 PECOS PAC ID: 6103095401 Enrollment ID: I20211020002764 |
Provider Name | Nhung Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932760964 PECOS PAC ID: 3375954308 Enrollment ID: I20230214003038 |
Provider Name | Angela Faye Perry |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063411858 PECOS PAC ID: 4587688262 Enrollment ID: I20230525001710 |
Provider Name | Eriq Paul Plechot |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902549173 PECOS PAC ID: 9830558105 Enrollment ID: I20230705001018 |
Provider Name | Brett Tompkins |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1033533195 PECOS PAC ID: 6406149079 Enrollment ID: I20230814000981 |
Provider Name | Sharon Han |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497403778 PECOS PAC ID: 6204299589 Enrollment ID: I20230905001299 |
Provider Name | Ledia Yousef Milad Samwil |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043084007 PECOS PAC ID: 0244673275 Enrollment ID: I20240207001229 |
Mailing Address | Practice Location Address |
---|---|
Atlantis Eyecare 888 S. Disneyland Drive, Suite 100, Anaheim, CA 92802-1828 Ph: (714) 399-0678 | Atlantis Eyecare 947 S. Anaheim Blvd, Suite 120, Anaheim, CA 92805-5590 Ph: (714) 821-4666 |