Dr Matthew M Enos, OD | |
8190 Mango Ave, Fontana, CA 92335-3610 | |
(909) 350-2020 | |
Not Available |
Full Name | Dr Matthew M Enos |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 8190 Mango Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134560477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV007985 (New York) | Secondary |
152W00000X | Optometrist | 14879 TLG (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Provider Name | Orinda Optometry Group, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487843652 PECOS PAC ID: 5799726568 Enrollment ID: O20050525000790 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew M Enos, OD 8190 Mango Ave, Fontana, CA 92335-3610 Ph: (909) 350-2020 | Dr Matthew M Enos, OD 8190 Mango Ave, Fontana, CA 92335-3610 Ph: (909) 350-2020 |
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 | |
Theprangsy Nantha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |