Dr Paul Jonathan Super, OD in Los Angeles, CA

Dr Paul Jonathan Super, OD is a medicare enrolled "Optometrist" provider in Los Angeles, California. His current practice location is 11696 San Vicente Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 820-2020.

Dr Paul Jonathan Super is licensed to practice in California (license number OPT8867) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649499807.

Contact Information

	Dr Paul Jonathan Super, OD
	11696 San Vicente Blvd, Los Angeles, CA 90049-5104
	(310) 820-2020
	(310) 820-1884

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Paul Jonathan Super
Gender	Male
Speciality
Experience	Years
Location	11696 San Vicente Blvd, Los Angeles, 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.

Medical Education and Training:

Dr Paul Jonathan Super attended and graduated from in

NPI Data:

NPI Number: 1649499807
Provider Enumeration Date: 04/25/2007
Last Update Date: 12/23/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Paul Jonathan Super such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649499807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	OP8867TPG (California)	Secondary
152W00000X	Optometrist	OPT8867 (California)	Primary

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 Paul Jonathan Super 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 Paul Jonathan Super, OD 11696 San Vicente Blvd, Los Angeles, CA 90049-5104 Ph: (310) 820-2020	Dr Paul Jonathan Super, OD 11696 San Vicente Blvd, Los Angeles, CA 90049-5104 Ph: (310) 820-2020

Reviews and Comments

Optometrist in Los Angeles, CA

Roxana Gilda De La Rosa, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 1/2 S Vermont Ave, Los Angeles, CA 90004 Phone: 213-383-8036
Dr. Lernik Torossian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 835 W Jefferson Blvd Unit 7-d, Los Angeles, CA 90089 Phone: 323-442-6335
Optometric Eyesite Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10939 West Pico Blvd, Los Angeles, CA 90064 Phone: 310-899-0077
Vision To Learn Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025 Phone: 800-485-9196 Fax: 213-402-5261
Beverly Grove Vision Care Optometry, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 S Fairfax Ave, Los Angeles, CA 90036 Phone: 323-879-9259
Narda Sanchez, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 W. Sunset Blvd, Los Angeles, CA 90028 Phone: 323-462-2816
Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033

Dr Paul Jonathan Super, OD - Medicare Optometrist in Los Angeles, CA