Crystal Wang Wen, OD | |
200 Minor Lane, Berkeley, CA 94720-2020 | |
(510) 642-2020 | |
(510) 642-8012 |
Full Name | Crystal Wang Wen |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 200 Minor Lane, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972025302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9284 (Texas) | Secondary |
152W00000X | Optometrist | 33916TLG (California) | Primary |
Provider Name | University Of Houston System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861493140 PECOS PAC ID: 6901896356 Enrollment ID: O20041005000564 |
Mailing Address | Practice Location Address |
---|---|
Crystal Wang Wen, OD 200 Minor Lane, Berkeley, CA 94720-0001 Ph: (510) 642-2020 | Crystal Wang Wen, OD 200 Minor Lane, Berkeley, CA 94720-2020 Ph: (510) 642-2020 |
Dr. Carl H. Jacobsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720 Phone: 510-643-9826 Fax: 510-642-4025 | |
Nancy Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: University Of California School Of Optometry, 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-0945 | |
Annie Chang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1931 Dwight Way, Apt 20, Berkeley, CA 94704 Phone: 310-619-1266 | |
Dr. John Corzine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Minor Hall, University Of California, Berkeley, CA 94720 Phone: 510-643-2793 Fax: 510-643-5109 | |
Dr. Ghazal Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-2020 | |
Anne Tasaki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, Berkeley, CA 94720 Phone: 510-642-2020 | |
Daphne Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-642-0945 |