| Hacienda Park Optometry | |
|
4825 Hopyard Rd, Suite F-1, Pleasanton, CA 94588-2772 | |
| (925) 227-0400 | |
| (925) 227-0730 |
| Full Name | Hacienda Park Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4825 Hopyard Rd, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265898373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 12154TLG (California) | Primary |
| Provider Name | Joan Chung-chia Jen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013069616 PECOS PAC ID: 7911921077 Enrollment ID: I20060117000713 |
| Provider Name | Ketul B Joshi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922048537 PECOS PAC ID: 0648312579 Enrollment ID: I20100115000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Hacienda Park Optometry 4825 Hopyard Rd, Suite F-1, Pleasanton, CA 94588-2772 Ph: (925) 227-0400 | Hacienda Park Optometry 4825 Hopyard Rd, Suite F-1, Pleasanton, CA 94588-2772 Ph: (925) 227-0400 |
Christopher Jeffrey Fong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1104a Stoneridge Mall Rd, Pleasanton, CA 94588 Phone: 925-463-3521 | |
Charles Jerome Hom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5679 Gibraltar Dr, Pleasanton, CA 94588 Phone: 925-463-3937 Fax: 925-947-0957 | |
Dr. Jessica My Hoang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5820 Stoneridge Mall Rd Ste 114, Pleasanton, CA 94588 Phone: 925-421-0393 | |
Connie Husserl, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2709 Stoneridge Dr Ste 112, Pleasanton, CA 94588 Phone: 925-462-1100 | |
Melissa Li, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1104 Stoneridge Mall Rd, Pleasanton, CA 94588 Phone: 925-463-3520 | |
Dr. Edward Laubach, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5980 Stoneridge Dr, Ste 110, Pleasanton, CA 94588 Phone: 925-463-7330 Fax: 925-463-7337 | |
Dr. Edwin Michael Liu, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3901b Santa Rita Rd, Pleasanton, CA 94588 Phone: 925-463-2150 Fax: 925-463-1186 |