Dr Taylor Woodbury Bladh, OD | |
718 N. Diamond Bar Blvd., Diamond Bar, CA 91765-4122 | |
(909) 861-3737 | |
(909) 396-7517 |
Full Name | Dr Taylor Woodbury Bladh |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 38 Years |
Location | 718 N. Diamond Bar Blvd., Diamond Bar, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467527028 | NPI | - | NPPES |
SD0081970 | Medicaid | CA | |
SD0088870 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT8921TPA (California) | Secondary |
152W00000X | Optometrist | OPT8921TPG (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Total Vision Pc | 9234472242 | 107 |
Provider Name | Department Of State Hospitals |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Taylor Woodbury Bladh, OD 718 N. Diamond Bar Blvd, Diamond Bar, CA 91765-4122 Ph: (909) 861-3737 | Dr Taylor Woodbury Bladh, OD 718 N. Diamond Bar Blvd., Diamond Bar, CA 91765-4122 Ph: (909) 861-3737 |
Dr. Natalie Lue Hoshi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1255 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-861-4999 | |
Kimberly Shih, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 659 Chapparal Dr, Diamond Bar, CA 91765 Phone: 909-896-6225 | |
American Learning And Vision Association Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1345 S Diamond Bar Blvd, Suite C, Diamond Bar, CA 91765 Phone: 909-653-1888 | |
Effie Sen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-861-3737 Fax: 909-396-7517 | |
Dr. Yue Zhou, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1345 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-653-1888 | |
Dr. Jennifer B Grove, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1155 S Diamond Bar Blvd Ste J, Diamond Bar, CA 91765 Phone: 909-861-0163 |