Dr Anselm P Hall, OPTOMETRIST | |
4618 Fountain Ave, Los Angeles, CA 90029-1977 | |
(323) 953-7191 | |
Not Available |
Full Name | Dr Anselm P Hall |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 4618 Fountain Ave, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679642243 | NPI | - | NPPES |
11884T | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 11884T (California) | Primary |
Provider Name | Queenscare Health Centers |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093886251 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131 |
Mailing Address | Practice Location Address |
---|---|
Dr Anselm P Hall, OPTOMETRIST 950 S Grand Ave Fl 2, Los Angeles, CA 90015-3999 Ph: (323) 669-4346 | Dr Anselm P Hall, OPTOMETRIST 4618 Fountain Ave, Los Angeles, CA 90029-1977 Ph: (323) 953-7191 |
Roxana Gilda De La Rosa, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 1/2 S Vermont Ave, Los Angeles, CA 90004 Phone: 213-383-8036 | |
Dr. Lernik Torossian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 835 W Jefferson Blvd Unit 7-d, Los Angeles, CA 90089 Phone: 323-442-6335 | |
Optometric Eyesite Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10939 West Pico Blvd, Los Angeles, CA 90064 Phone: 310-899-0077 | |
Vision To Learn Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025 Phone: 800-485-9196 Fax: 213-402-5261 | |
Beverly Grove Vision Care Optometry, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 S Fairfax Ave, Los Angeles, CA 90036 Phone: 323-879-9259 | |
Narda Sanchez, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 W. Sunset Blvd, Los Angeles, CA 90028 Phone: 323-462-2816 | |
Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033 |