Catherine Joo, OD | |
11103 West Ave, 6, San Antonio, TX 78213-1370 | |
(210) 524-6509 | |
(210) 524-6587 |
Full Name | Catherine Joo |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 11103 West Ave, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528259595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618001667 (Virginia) | Primary |
Provider Name | Bethesda Vision Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790999266 PECOS PAC ID: 7810044450 Enrollment ID: O20090416000352 |
Mailing Address | Practice Location Address |
---|---|
Catherine Joo, OD 5801 Duke St, E-128, Alexandria, VA 22304-3208 Ph: (703) 642-0720 | Catherine Joo, OD 11103 West Ave, 6, San Antonio, TX 78213-1370 Ph: (210) 524-6509 |
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