Coastal Vision Medical Group | |
4300 Long Beach Blvd Ste 400, Long Beach, CA 90807-2008 | |
(562) 591-7700 | |
(562) 591-1311 |
Full Name | Coastal Vision Medical Group |
---|---|
Type | Facility |
Speciality | Specialist |
Location | 4300 Long Beach Blvd Ste 400, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124131065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OP12694 (California) | Secondary |
152W00000X | Optometrist | 13026TPA (California) | Secondary |
174400000X | Specialist | G83738 (California) | Primary |
Provider Name | Cory Lynne Brame |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821093311 PECOS PAC ID: 1052218203 Enrollment ID: I20031217000757 |
Provider Name | Julie E Chen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548484538 PECOS PAC ID: 0345200838 Enrollment ID: I20041019000476 |
Provider Name | Dan Bao Tran |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487767190 PECOS PAC ID: 7517921299 Enrollment ID: I20041112000543 |
Provider Name | Bao Thu T Nguyen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538137666 PECOS PAC ID: 2163424722 Enrollment ID: I20070209000653 |
Provider Name | Sinavy Sao |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104843028 PECOS PAC ID: 4183720873 Enrollment ID: I20070425000635 |
Provider Name | Tu Doan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861557712 PECOS PAC ID: 3476650904 Enrollment ID: I20070517000686 |
Provider Name | Jimmy K Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306045802 PECOS PAC ID: 1951494327 Enrollment ID: I20120131000130 |
Provider Name | Ashley T Owyang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245513571 PECOS PAC ID: 0941462238 Enrollment ID: I20120502000653 |
Provider Name | Amir Hossein Alim Marvasti |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1568882751 PECOS PAC ID: 9739472531 Enrollment ID: I20180608001153 |
Provider Name | Amy Tran Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538651948 PECOS PAC ID: 3779828611 Enrollment ID: I20181220001182 |
Provider Name | Loren D. Rude |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922123926 PECOS PAC ID: 4981004330 Enrollment ID: I20210610000913 |
Provider Name | Stephanie Thuy-vy Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619504081 PECOS PAC ID: 6608279419 Enrollment ID: I20210730000235 |
Provider Name | Brandon Chuang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992209373 PECOS PAC ID: 1658629076 Enrollment ID: I20230626002600 |
Provider Name | Michael Hall Markowitz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538937701 PECOS PAC ID: 0547603110 Enrollment ID: I20240210000636 |
Provider Name | Eric Lorilla Viloria |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881222453 PECOS PAC ID: 7416391263 Enrollment ID: I20240220002341 |
Mailing Address | Practice Location Address |
---|---|
Coastal Vision Medical Group 4300 Long Beach Blvd Ste 400, Long Beach, CA 90807-2008 Ph: (562) 591-7700 | Coastal Vision Medical Group 4300 Long Beach Blvd Ste 400, Long Beach, CA 90807-2008 Ph: (562) 591-7700 |