| Dr. Terrry Khraishi Od Inc | |
|
317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744-2542 | |
| (424) 264-5821 | |
| (424) 264-5821 |
| Full Name | Dr. Terrry Khraishi Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 317 W Pacific Coast Hwy Ste B, Wilmington, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043879000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Terry T Khraishi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205878634 PECOS PAC ID: 4587728233 Enrollment ID: I20090126000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Terrry Khraishi Od Inc 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744-2542 Ph: (424) 264-5821 | Dr. Terrry Khraishi Od Inc 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744-2542 Ph: (424) 264-5821 |
Richard M Peters Od An Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-834-5464 Fax: 310-835-6665 | |
Dr. Tariq Tahir Khraishi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744 Phone: 424-264-5821 Fax: 424-264-5886 | |
Dr. Richard M Peters, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 810 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-834-5464 Fax: 310-835-6665 |