Dr Douglas J Leo, OD | |
16866 Seville Ave, Fontana, CA 92335-3561 | |
(909) 350-1524 | |
(909) 350-8546 |
Full Name | Dr Douglas J Leo |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 44 Years |
Location | 16866 Seville Ave, Fontana, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215012869 | NPI | - | NPPES |
YYY48781Y | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 06988 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fontana Optometric Group Inc | 7911255302 | 3 |
Provider Name | Fontana Optometric Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972688513 PECOS PAC ID: 7911255302 Enrollment ID: O20180801000940 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas J Leo, OD 16866 Seville Ave, P.o. Box 2020, Fontana, CA 92335-3561 Ph: (909) 350-1524 | Dr Douglas J Leo, OD 16866 Seville Ave, Fontana, CA 92335-3561 Ph: (909) 350-1524 |
Junyao Xu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8381 Juniper Ave Unit 100, Fontana, CA 92335 Phone: 909-428-2020 | |
Tammy M Tran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Gary J Jacobson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Mai Nguyen, O.d., Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15070 Summit Ave Ste 400, Fontana, CA 92336 Phone: 909-538-9246 | |
Arlene Sarroca Arcega, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Dr. Matthew M. Enos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8190 Mango Ave, Fontana, CA 92335 Phone: 909-350-2020 | |
Theprangsy Nantha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |