| Foothill Optometric Center | |
|
12759 Foothill Blvd, Suite C, Rancho Cucamonga, CA 91739-9336 | |
| (909) 899-0026 | |
| (909) 899-6381 |
| Full Name | Foothill Optometric Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12759 Foothill Blvd, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588771380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11100T (California) | Primary |
| Provider Name | Justin T Abo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952386963 PECOS PAC ID: 2163437609 Enrollment ID: I20060221000230 |
| Provider Name | Jessica Mercado Archambault |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780008508 PECOS PAC ID: 8224255161 Enrollment ID: I20140815002347 |
| Provider Name | Ashley Elizabeth Suplee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841672607 PECOS PAC ID: 4880904903 Enrollment ID: I20151102001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Optometric Center 12759 Foothill Blvd, Suite C, Rancho Cucamonga, CA 91739-9336 Ph: (909) 899-0026 | Foothill Optometric Center 12759 Foothill Blvd, Suite C, Rancho Cucamonga, CA 91739-9336 Ph: (909) 899-0026 |
Thuy Hang Tran, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12549 Foothill Blvd, Rancho Cucamonga, CA 91739 Phone: 909-463-0785 Fax: 909-463-6071 | |
Dr. Christopher J Vansuch, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11800 4th St, Rancho Cucamonga, CA 91730 Phone: 909-581-1726 Fax: 909-581-1732 | |
Dr. Kim-uyen Tran Coloma, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7890 Haven Ave Ste 17, Rancho Cucamonga, CA 91730 Phone: 909-987-3330 | |
Dr. Ehaab Zubi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12263 Highland Ave, Ste 120, Rancho Cucamonga, CA 91739 Phone: 909-899-5001 Fax: 909-899-5003 | |
Marisol Hernandez-sanchez, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12263 Highland Ave Ste 120, Rancho Cucamonga, CA 91739 Phone: 909-899-5001 | |
Dr. Leena Gayakwad Adhikari, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11940 East Foothill Blvd, Suite 103, Rancho Cucamonga, CA 91739 Phone: 909-980-5552 Fax: 909-568-2413 | |
Elaine Lee, O.d. Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7375 Day Creek Blvd Ste 105, Rancho Cucamonga, CA 91739 Phone: 909-646-7443 Fax: 909-646-7480 |