Dr Kerry Scot Anderson, OD | |
14335 Pipeline Ave, Chino, CA 91710-5642 | |
(909) 628-8860 | |
(909) 628-6120 |
Full Name | Dr Kerry Scot Anderson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 14335 Pipeline Ave, Chino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851404628 | NPI | - | NPPES |
SD0097750 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT 9775 TPA (California) | Primary |
Provider Name | Primigenia Optometry Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578786398 PECOS PAC ID: 1951553601 Enrollment ID: O20121204000393 |
Mailing Address | Practice Location Address |
---|---|
Dr Kerry Scot Anderson, OD 21078 Jewel Ct, Diamond Bar, CA 91765-4038 Ph: (909) 628-8860 | Dr Kerry Scot Anderson, OD 14335 Pipeline Ave, Chino, CA 91710-5642 Ph: (909) 628-8860 |
Dr. Howard Hai Tuan Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12345 Mountain Ave Ste X, Chino, CA 91710 Phone: 909-548-0300 Fax: 909-548-0309 | |
Molly Duong, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5343 Riverside Dr, Chino, CA 91710 Phone: 909-285-9429 | |
Quynh Tran Optometry, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 5250 Philadelphia St Ste D, Chino, CA 91710 Phone: 909-628-1226 | |
Dr. Roberta Alice Perlman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5385 Walnut Ave, Ste 2, Chino, CA 91710 Phone: 909-627-8523 Fax: 909-627-5183 | |
Nancy Banh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5250 Philadelphia St Ste D, Chino, CA 91710 Phone: 909-628-1226 | |
Dr. Karen Wu, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5250 Philadelphia St Ste D, Chino, CA 91710 Phone: 909-628-1226 | |
Dr. Jay Chao, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12530 10th St Ste A, Chino, CA 91710 Phone: 909-627-7518 |