Dr Jennifer Tze-kei Chan, OD | |
120 W Bonita Ave Ste A, San Dimas, CA 91773-5000 | |
(909) 599-1100 | |
Not Available |
Full Name | Dr Jennifer Tze-kei Chan |
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Gender | Female |
Speciality | Optometrist |
Location | 120 W Bonita Ave Ste A, San Dimas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447734439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT-002275 (Arizona) | Secondary |
152W00000X | Optometrist | 34409TLG (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Tze-kei Chan, OD 1080 S Oak Knoll Ave, Pasadena, CA 91106-4439 Ph: (626) 215-7655 | Dr Jennifer Tze-kei Chan, OD 120 W Bonita Ave Ste A, San Dimas, CA 91773-5000 Ph: (909) 599-1100 |
Melissa Zhao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave, San Dimas, CA 91773 Phone: 909-394-0462 | |
Dr. Abigayle Ancheta Gutierrez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773 Phone: 909-599-1100 | |
Tedder Optometry Group, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 939 W Arrow Hwy, San Dimas, CA 91773 Phone: 805-624-1255 | |
Suzan Burmayan, O.d., A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773 Phone: 909-599-1100 | |
Dr. Elizabeth M Tsay, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave Ste 110b, San Dimas, CA 91773 Phone: 909-394-0462 | |
Justin Hua, Optometrist Medicare: Medicare Enrolled Practice Location: 520 N Lone Hill Ave, San Dimas, CA 91773 Phone: 909-962-5518 | |
Dr. Grant Andrew Paul, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 963 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-5666 |