| Dr Donald Samuel Gottlieb, OD | |
|
322 Lakewood Center Mall, Lakewood, CA 90712-2409 | |
| (562) 630-2020 | |
| Not Available |
| Full Name | Dr Donald Samuel Gottlieb |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 322 Lakewood Center Mall, Lakewood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316250665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 13926 (California) | Primary |
| Provider Name | Larry J Gottlieb Inc A Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013176130 PECOS PAC ID: 8527046887 Enrollment ID: O20040712001609 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Samuel Gottlieb, OD 322 Lakewood Center Mall, Lakewood, CA 90712-2409 Ph: (562) 630-2020 | Dr Donald Samuel Gottlieb, OD 322 Lakewood Center Mall, Lakewood, CA 90712-2409 Ph: (562) 630-2020 |
Dr Gottlieb Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 6418 E Del Amo Blvd, Lakewood, CA 90713 Phone: 562-420-2055 Fax: 562-420-1784 | |
Sandra S Lin-lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2770 Carson St, Lakewood, CA 90712 Phone: 562-497-9476 | |
Dr. Phung Quach, Od Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 11421 Carson St Ste F, Lakewood, CA 90715 Phone: 562-402-1900 | |
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2770 Carson St, Lakewood, CA 90712 Phone: 562-497-9476 Fax: 562-497-9369 | |
Esther C Park, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 63 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-634-2442 | |
Dr. Hemali Bhakta Jardosh, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 340 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-602-6100 Fax: 562-295-1520 | |
Diane Tran, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 Lakewood Center Mall, Inside Target Optical, Lakewood, CA 90712 Phone: 562-529-3298 |