| Bryan Imoto O.d. Optometric Corporation | |
|
11436 Artesia Blvd Ste D, Artesia, CA 90701-3859 | |
| (562) 860-1717 | |
| (562) 865-5184 |
| Full Name | Bryan Imoto O.d. Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11436 Artesia Blvd Ste D, Artesia, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073121380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bryan T Imoto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356604094 PECOS PAC ID: 4688898661 Enrollment ID: I20140612002246 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Imoto O.d. Optometric Corporation 11436 Artesia Blvd Ste D, Artesia, CA 90701-3859 Ph: (562) 860-1717 | Bryan Imoto O.d. Optometric Corporation 11436 Artesia Blvd Ste D, Artesia, CA 90701-3859 Ph: (562) 860-1717 |
Dr. Ken Imoto, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd, Suite D, Artesia, CA 90701 Phone: 562-860-1717 Fax: 562-865-5184 | |
Richard Ly, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd, Artesia, CA 90701 Phone: 562-467-0813 | |
Dr. Michael S Chang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd, Suite F, Artesia, CA 90701 Phone: 562-467-0813 Fax: 562-467-0816 | |
Mimi Anh Saysomphane, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd Ste F, Artesia, CA 90701 Phone: 714-642-5260 | |
Artesia I Care Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd Ste D, Artesia, CA 90701 Phone: 562-860-1717 | |
Dr. Bryan Takanori Imoto, BRYAN IMOTO O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11436 Artesia Blvd, Suite D, Artesia, CA 90701 Phone: 562-860-1717 |