Dr Trang D Phan, OD | |
31573 Rancho Pueblo Rd Ste 101, Temecula, CA 92592-4854 | |
(951) 302-5580 | |
(951) 302-5581 |
Full Name | Dr Trang D Phan |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 31573 Rancho Pueblo Rd Ste 101, Temecula, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407817265 | NPI | - | NPPES |
000000376636 | Other | OH | BLUE CROSS BLUE SHEILD |
1407817265 | Other | OH | CIGNA PPO |
2604944 | Medicaid | OH | |
341572960TL | Other | OH | SUMMACARE |
P00444080 | Other | OH | RAILROAD MEDICARE |
1407817265 | Other | OH | EMERALD HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5488 (Ohio) | Secondary |
152W00000X | Optometrist | 21354-875 (Wisconsin) | Secondary |
152W00000X | Optometrist | 34912TLG (California) | Primary |
Provider Name | First Optometric Care Of Northern California Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154972404 PECOS PAC ID: 6002216488 Enrollment ID: O20210608000773 |
Mailing Address | Practice Location Address |
---|---|
Dr Trang D Phan, OD 518 West Ave, Tallmadge, OH 44278-2117 Ph: (330) 630-9699 | Dr Trang D Phan, OD 31573 Rancho Pueblo Rd Ste 101, Temecula, CA 92592-4854 Ph: (951) 302-5580 |
Dr. Paul James Wilson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 26077 Arjuna Ave, Temecula, CA 92590 Phone: 951-587-3632 | |
Dr. Arthur Kim, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 27540 Ynez Rd Ste J15, Temecula, CA 92591 Phone: 951-506-0021 | |
Dr. Brandon Thomas Zoeckler, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 40820 Winchester Rd, St 1360, Temecula, CA 92591 Phone: 951-296-0328 Fax: 951-296-0342 | |
Dr. Shervin Yazdan, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26610 Ynez Rd, Temecula, CA 92591 Phone: 951-719-1420 | |
Dr. Kathryn Dugan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31333 Temecula Pkwy, Suite #c10-140, Temecula, CA 92592 Phone: 951-302-1331 Fax: 866-812-6094 | |
Bel Villaggio Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 41257 Margarita Road B103, Temecula, CA 92591 Phone: 951-587-2333 Fax: 951-587-2335 | |
Inland Eye Specialists Optometrist Medicare: Medicare Enrolled Practice Location: 31950 Temecula Pkwy, Suite B7, Temecula, CA 92592 Phone: 951-303-0575 Fax: 951-266-5302 |