| Elaine Pyng Oetomo, | |
|
9340 W Northern Ave Ste 120, Glendale, AZ 85305-1148 | |
| (602) 794-1608 | |
| Not Available |
| Full Name | Elaine Pyng Oetomo |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 9340 W Northern Ave Ste 120, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235798174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT-002345 (Arizona) | Primary |
| Provider Name | Tom Sowash Od & Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174627202 PECOS PAC ID: 4284606088 Enrollment ID: O20040811001137 |
| Provider Name | Advanced Eyecare And Vision Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427374347 PECOS PAC ID: 8224220678 Enrollment ID: O20101004001500 |
| Provider Name | Nationwide Optometry P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326472945 PECOS PAC ID: 6901033075 Enrollment ID: O20131217000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Pyng Oetomo, 39 Deer Trak, Irvine, CA 92618-8812 Ph: () - | Elaine Pyng Oetomo, 9340 W Northern Ave Ste 120, Glendale, AZ 85305-1148 Ph: (602) 794-1608 |
Dr. Margarita Alicia Coca, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308 Phone: 623-486-2020 | |
Vt Optometry Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18551 N 83rd Ave, Glendale, AZ 85308 Phone: 623-825-9680 | |
Dr. Diana Vega Hernandez, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 7260 W Bell Rd, Glendale, AZ 85308 Phone: 623-486-1888 Fax: 623-486-8001 | |
Krupa J Patel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5865 W Utopia Rd, Glendale, AZ 85308 Phone: 623-537-6000 | |
Michael L Berger Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 6677 W Thunderbird Rd #b132, Glendale, AZ 85306 Phone: 602-978-1199 | |
Dr. Ryan Ambrose, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3870 W Happy Valley Rd Ste 150, Glendale, AZ 85310 Phone: 623-362-8642 Fax: 623-561-1190 | |
Stacie L Westen Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5605 W Northern Ave, Glendale, AZ 85301 Phone: 623-934-6917 |