Dr Jimmy K So, OD in Upland, CA - Medicare Optometrist Provider

Dr Jimmy K So, OD is a medicare enrolled "Optometrist" provider in Upland, California. His current practice location is 1261 W Foothill Blvd Ste B, Upland, California. You can reach out to his office (for appointments etc.) via phone at (909) 982-9366.

Dr Jimmy K So is licensed to practice in California (license number 10554T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548233059.

Contact Information

	Dr Jimmy K So, OD
	1261 W Foothill Blvd Ste B, Upland, CA 91786-8019
	(909) 982-9366
	(909) 982-2477

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jimmy K So
Gender	Male
Speciality	Optometrist
Location	1261 W Foothill Blvd Ste B, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548233059
Provider Enumeration Date: 02/07/2006
Last Update Date: 02/24/2014

Medicare PECOS Information:

PECOS PAC ID: 7719101005
Enrollment ID: I20140612001156

Medical Identifiers

Medical identifiers for Dr Jimmy K So such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548233059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10554T (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jimmy K So allows following entities to bill medicare on his behalf.

Provider Name	Jimmy K So Od Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154746345 PECOS PAC ID: 2769605286 Enrollment ID: O20140530000311

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jimmy K So is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jimmy K So, OD 1261 W Foothill Blvd Ste B, Upland, CA 91786-8019 Ph: (909) 982-9366	Dr Jimmy K So, OD 1261 W Foothill Blvd Ste B, Upland, CA 91786-8019 Ph: (909) 982-9366

Reviews and Comments

Optometrist in Upland, CA

Dr. Lethuy T Nguyen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 553 N Mountain Ave, Upland, CA 91786 Phone: 909-985-2876 Fax: 909-946-8585
Rainbow Optometry,inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1183 E Foothill Blvd # 140, Upland, CA 91786 Phone: 909-608-0601 Fax: 909-608-0610
Dr. Diana Hanna, OD Optometrist Medicare: Medicare Enrolled Practice Location: 555 N. 13th Ave., Upland, CA 91786 Phone: 800-345-8979 Fax: 909-949-3967
Danny Duy Vu, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1540 W Foothill Blvd, Upland, CA 91786 Phone: 909-981-7634 Fax: 909-985-7497
Donald H Spaulding Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 944-a West Foothill Blvd, Upland, CA 91786 Phone: 909-982-3040 Fax: 909-982-9840
Lucent Optometry Montclair Inc Optometrist Medicare: Medicare Enrolled Practice Location: 471 N Central Ave, Upland, CA 91786 Phone: 909-788-3433 Fax: 099-129-8096
Jimmy K. So, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1261 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-982-9366 Fax: 909-982-2477

Dr Jimmy K So, OD - Medicare Optometrist in Upland, CA