Charles E Dominguez, OD in Lake Forest, CA - Medicare Optometry Provider

Charles E Dominguez, OD is a medicare enrolled "Optometrist" provider in Lake Forest, California. He went to University Of California, Geffen School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Dominguez Alderson Optometric Inc. and his current practice location is 21098 Bake Pkwy, Suite 110, Lake Forest, California. You can reach out to his office (for appointments etc.) via phone at (949) 597-0104.

Charles E Dominguez is licensed to practice in California (license number OPT 12292 TPA) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063437507.

Contact Information

	Charles E Dominguez, OD
	21098 Bake Pkwy, Suite 110, Lake Forest, CA 92630-2163
	(949) 597-0104
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles E Dominguez
Gender	Male
Speciality	Optometry
Experience	21 Years
Location	21098 Bake Pkwy, Lake Forest, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles E Dominguez attended and graduated from University Of California, Geffen School Of Medicine in 2003

NPI Data:

NPI Number: 1063437507
Provider Enumeration Date: 07/13/2006
Last Update Date: 10/15/2014

Medicare PECOS Information:

PECOS PAC ID: 6800817875
Enrollment ID: I20051219000329

Medical Identifiers

Medical identifiers for Charles E Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063437507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT 12292 TPA (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dominguez Alderson Optometric Inc.	9931358082	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles E Dominguez allows following entities to bill medicare on his behalf.

Provider Name	De La Pena Eye Clinic, A Medical Group, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306850250 PECOS PAC ID: 2961300116 Enrollment ID: O20031223000882

Provider Name	Dominguez Alderson Optometric Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922399864 PECOS PAC ID: 9931358082 Enrollment ID: O20121004000356

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles E Dominguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles E Dominguez, OD 21098 Bake Pkwy, Suite 110, Lake Forest, CA 92630-2163 Ph: (949) 597-0104	Charles E Dominguez, OD 21098 Bake Pkwy, Suite 110, Lake Forest, CA 92630-2163 Ph: (949) 597-0104

Reviews and Comments

Optometrist in Lake Forest, CA

Dr. Mary Melinda Wells, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23591 El Toro Road, Ste 145, Lake Forest, CA 92630 Phone: 949-859-3180 Fax: 949-859-6317
Dr. Omid Khodai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23 Bellflower, Lake Forest, CA 92630 Phone: 949-735-4727
Lake Forest Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 23600 Rockfield Blvd, Suite 3f, Lake Forest, CA 92630 Phone: 949-206-1560 Fax: 949-206-1655
Dr. Andrew Sendzik, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 22681 Lake Forest Dr, #a2, Lake Forest, CA 92630 Phone: 949-837-2121
Justin B Michaels, O.D Optometrist Medicare: May Accept Medicare Assignments Practice Location: 23002 Lake Center Dr, Lake Forest, CA 92630 Phone: 949-454-1064 Fax: 949-454-4111
Michaels And Vu Op Apc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23002 Lake Center Dr, Lake Forest, CA 92630 Phone: 949-454-1064 Fax: 949-454-4111

Charles E Dominguez, OD - Medicare Optometrist in Lake Forest, CA