| Encino Optometric Center Corp. | |
|
16550 Ventura Blvd Ste 312, Encino, CA 91436-2034 | |
| (818) 986-8860 | |
| Not Available |
| Full Name | Encino Optometric Center Corp. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 16550 Ventura Blvd Ste 312, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013193127 | NPI | - | NPPES |
| 1013193127 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 12641T (California) | Primary |
| Provider Name | Aung-zaw Phoo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548311855 PECOS PAC ID: 4183693690 Enrollment ID: I20040930001181 |
| Provider Name | Andrea Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699188904 PECOS PAC ID: 8527375260 Enrollment ID: I20150914001703 |
| Provider Name | Ann Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780098459 PECOS PAC ID: 7012221666 Enrollment ID: I20200508000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Optometric Center Corp. 16550 Ventura Blvd Ste 312, Encino, CA 91436-2034 Ph: (818) 986-8860 | Encino Optometric Center Corp. 16550 Ventura Blvd Ste 312, Encino, CA 91436-2034 Ph: (818) 986-8860 |
Dr. Shawn M Joseph, Optometrist Medicare: Medicare Enrolled Practice Location: 6345 Balboa Blvd Ste 250, Encino, CA 91316 Phone: 818-344-3937 | |
Dr. Mary Demirjian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17283 Ventura Blvd, Encino, CA 91316 Phone: 818-990-0300 Fax: 818-990-4854 | |
Dr. Harry E Enenstein, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 17310 Ventura Blvd, Encino, CA 91316 Phone: 818-728-6800 | |
Sara Sheila Banilohi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd Ste 750, Encino, CA 91436 Phone: 818-990-3623 | |
Joseph & Nace Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 6345 Balboa Blvd, Bldg 3 Ste 250, Encino, CA 91316 Phone: 818-344-3937 Fax: 818-344-1229 | |
Dr. Sarah Reyes Haakonsen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd Ste 750, Encino, CA 91436 Phone: 818-990-3623 Fax: 818-788-5601 |