Dr Queen Lucky Thach, OD | |
2907 Jamacha Rd Ste A, El Cajon, CA 92019-4342 | |
(619) 660-0272 | |
(619) 660-0310 |
Full Name | Dr Queen Lucky Thach |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2907 Jamacha Rd Ste A, El Cajon, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053841478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV009101-01 (New York) | Secondary |
152W00000X | Optometrist | OPT33685-TLG (California) | Primary |
Provider Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Provider Name | Eye Center Optometrics A Professional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245369024 PECOS PAC ID: 4385613595 Enrollment ID: O20040924000851 |
Provider Name | California Retina Associates, Lp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114033404 PECOS PAC ID: 4284676966 Enrollment ID: O20050523001307 |
Provider Name | Total Vision Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356813711 PECOS PAC ID: 9234472242 Enrollment ID: O20190515000216 |
Provider Name | Third Optometric Care Of California |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013516103 PECOS PAC ID: 8325456536 Enrollment ID: O20210427002381 |
Mailing Address | Practice Location Address |
---|---|
Dr Queen Lucky Thach, OD 7419 Caminito Carlotta, San Diego, CA 92120-2216 Ph: () - | Dr Queen Lucky Thach, OD 2907 Jamacha Rd Ste A, El Cajon, CA 92019-4342 Ph: (619) 660-0272 |
Dr. Maria Theresa Gozun Alfonso, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 539 Parkway Plz, El Cajon, CA 92020 Phone: 619-441-0138 | |
Dr. Esther Sherbak, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2911 Jamacha Rd, El Cajon, CA 92019 Phone: 619-403-5260 | |
Marilyn A Carter, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 510 S Magnolia Ave, El Cajon, CA 92020 Phone: 619-444-9012 Fax: 619-444-0232 | |
Yelena Davydova, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 539 Parkway Plz, El Cajon, CA 92020 Phone: 619-441-0138 | |
Dr. Smit Ashok Patel, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1071 Broadway, El Cajon, CA 92021 Phone: 619-442-6686 Fax: 619-442-8023 |