| Fairway Park Optometry Center | |
|
31119 Mission Blvd, Hayward, CA 94544-7603 | |
| (510) 471-1234 | |
| (510) 471-7414 |
| Full Name | Fairway Park Optometry Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 31119 Mission Blvd, Hayward, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093858235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10541T (California) | Primary |
| Provider Name | Donna Felix Madlangbayan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669434692 PECOS PAC ID: 9335125087 Enrollment ID: I20040628000532 |
| Provider Name | Ximena Maria Daza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154383172 PECOS PAC ID: 0840217931 Enrollment ID: I20051028000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Fairway Park Optometry Center 31119 Mission Blvd, Hayward, CA 94544-7603 Ph: (510) 471-1234 | Fairway Park Optometry Center 31119 Mission Blvd, Hayward, CA 94544-7603 Ph: (510) 471-1234 |
Payal Bavishi, Optometrist Medicare: Medicare Enrolled Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 | |
Daniel Li-jen Wang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Southland Mall, Hayward, CA 94545 Phone: 510-887-2800 Fax: 510-887-2812 | |
Ximena Maria Daza, OD Optometrist Medicare: Medicare Enrolled Practice Location: 31119 Mission Blvd, Hayward, CA 94544 Phone: 510-471-1234 Fax: 510-471-7414 | |
Mujda Zhublawar, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 Fax: 510-581-7368 | |
Dr. Dat Bui, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 Fax: 510-581-7368 | |
Angela Jean Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 |