Dr Bryan Takanori Imoto, BRYAN IMOTO OD | |
11436 Artesia Blvd, Suite D, Artesia, CA 90701-3859 | |
(562) 860-1717 | |
Not Available |
Full Name | Dr Bryan Takanori Imoto |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 11436 Artesia Blvd, Artesia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356604094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 14401 (California) | Primary |
Provider Name | Bryan Imoto O.d. Optometric Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073121380 PECOS PAC ID: 8729498688 Enrollment ID: O20201103003108 |
Mailing Address | Practice Location Address |
---|---|
Dr Bryan Takanori Imoto, BRYAN IMOTO OD 11436 Artesia Blvd, Suite D, Artesia, CA 90701-3859 Ph: (562) 860-1717 | Dr Bryan Takanori Imoto, BRYAN IMOTO OD 11436 Artesia Blvd, Suite D, Artesia, CA 90701-3859 Ph: (562) 860-1717 |
Dr. Ken Imoto, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd, Suite D, Artesia, CA 90701 Phone: 562-860-1717 Fax: 562-865-5184 | |
Bryan Imoto O.d. Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 11436 Artesia Blvd Ste D, Artesia, CA 90701 Phone: 562-860-1717 Fax: 562-865-5184 | |
Richard Ly, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd, Artesia, CA 90701 Phone: 562-467-0813 | |
Dr. Michael S Chang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd, Suite F, Artesia, CA 90701 Phone: 562-467-0813 Fax: 562-467-0816 | |
Mimi Anh Saysomphane, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd Ste F, Artesia, CA 90701 Phone: 714-642-5260 | |
Artesia I Care Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd Ste D, Artesia, CA 90701 Phone: 562-860-1717 |