| East Bay Vision Center Optometry Inc | |
|
388 9th St Ste 157, Oakland, CA 94607 | |
| (510) 268-9600 | |
| (510) 268-1608 |
| Full Name | East Bay Vision Center Optometry Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 388 9th St Ste 157, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396779344 | NPI | - | NPPES |
| GSD004760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CA 0085330T (California) | Primary |
| Provider Name | Eileen S Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851355309 PECOS PAC ID: 7315035318 Enrollment ID: I20111221000803 |
| Provider Name | Rebecca Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841642295 PECOS PAC ID: 8022390640 Enrollment ID: I20170116000228 |
| Provider Name | Matthew Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467128173 PECOS PAC ID: 5991101982 Enrollment ID: I20210830002660 |
| Provider Name | Xin Yuan Tian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255059630 PECOS PAC ID: 8729464607 Enrollment ID: I20220929001858 |
| Provider Name | Camellia Y Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518697838 PECOS PAC ID: 6608243548 Enrollment ID: I20230803003371 |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Vision Center Optometry Inc 388 9th St Ste 157, Oakland, CA 94607-4290 Ph: (510) 268-9600 | East Bay Vision Center Optometry Inc 388 9th St Ste 157, Oakland, CA 94607 Ph: (510) 268-9600 |
Karen Rose Chester, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3060 E 9th St, Suite B, Oakland, CA 94601 Phone: 510-535-5500 Fax: 510-535-4349 | |
Dr. Richard Wayne Jue, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2069 Mountain Blvd, Oakland, CA 94611 Phone: 510-339-9318 Fax: 510-339-3606 | |
Dr. Damon Matthew Ellis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3205 Grand Ave, Oakland, CA 94610 Phone: 510-444-0666 | |
Dr. Larry Alan Sarver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5321 College Ave, Oakland, CA 94618 Phone: 510-655-3797 Fax: 510-655-3701 | |
Diana C. Yuen, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3330 Grand Ave, Oakland, CA 94610 Phone: 510-832-3162 | |
Diana Pham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4760 Telegraph Ave, Oakland, CA 94609 Phone: 510-427-1184 | |
Dr. Lisa D. Kharrazi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 829 Broadway, Oakland, CA 94607 Phone: 510-465-5876 Fax: 510-238-5164 |