| Frederick R. Harris, O.d., Inc. | |
|
1941 Huntington Dr, Suite F, South Pasadena, CA 91030-4967 | |
| (626) 799-2212 | |
| Not Available |
| Full Name | Frederick R. Harris, O.d., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1941 Huntington Dr, South Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114237658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 4835 TPL (California) | Primary |
| Provider Name | Frederick R Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730151127 PECOS PAC ID: 6002920816 Enrollment ID: I20110120000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick R. Harris, O.d., Inc. 1941 Huntington Dr, Suite F, South Pasadena, CA 91030-4967 Ph: () - | Frederick R. Harris, O.d., Inc. 1941 Huntington Dr, Suite F, South Pasadena, CA 91030-4967 Ph: (626) 799-2212 |
Dr. Jamila Shani Wallace, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 Fair Oaks Ave, South Pasadena, CA 91030 Phone: 626-441-0770 | |
Dr. Irene Nora Sang, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Dr. Jaime Chan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1024 Mission St Ste B, South Pasadena, CA 91030 Phone: 626-460-6022 | |
Dr. Shelly Holcomb Lowe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Dr. Hripsime Shirvanian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1024 Mission St, Suite B, South Pasadena, CA 91030 Phone: 626-460-6022 Fax: 626-460-6024 | |
Christina Liu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 |