Jennifer A Lacson-wong, OD | |
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
(626) 851-1011 | |
Not Available |
Full Name | Jennifer A Lacson-wong |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629295100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT11072T (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Lacson-wong, OD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 | Jennifer A Lacson-wong, OD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 |
Dr. Leonard Larks, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-919-1243 | |
Daisy H Fu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Marjan Nadimi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 800-823-2020 | |
Phyllis Ardary, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Dr. Daniel Thomas Martinez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14319 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-960-8655 Fax: 626-960-7802 | |
Serena S Wong, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Brian Yam, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |