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1760 S Pacific Coast Hwy, Redondo Beach, CA 90277-5902 | |
| (310) 540-3787 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1760 S Pacific Coast Hwy, Redondo Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053818385 | NPI | - | NPPES |
| 1306370093 | Other | CA | SUSAN CHOE |
| 1619028453 | Other | CA | JENNIFER DJIE-WITKOWSKI |
| 1255484556 | Other | CA | CARRIE SAITO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jennifer D Witkowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619028453 PECOS PAC ID: 9537157862 Enrollment ID: I20040504001508 |
| Provider Name | Dana Yen Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780365502 PECOS PAC ID: 2860923281 Enrollment ID: I20241009000779 |
| Mailing Address | Practice Location Address |
|---|---|
1760 S Pacific Coast Hwy, Redondo Beach, CA 90277-5902 Ph: () - | 1760 S Pacific Coast Hwy, Redondo Beach, CA 90277-5902 Ph: (310) 540-3787 |
Deborah Carrasco, OD Optometrist Medicare: Medicare Enrolled Practice Location: 520 N Prospect Ave Ste 206, Redondo Beach, CA 90277 Phone: 310-376-8850 Fax: 310-798-9228 | |
Sarah Frassato, O.d., A Professional Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 249 Avenida Del Norte, Redondo Beach, CA 90277 Phone: 312-804-8726 | |
Ann M Clark, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1760 S Pacific Coast Hwy, Redondo Beach, CA 90277 Phone: 310-540-2970 | |
Dr. Natalie Justina Skokandic, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1815 Hawthorne Blvd Ste 236, Redondo Beach, CA 90278 Phone: 310-370-1618 | |
Benjamin Fouladian, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 N Pacific Coast Hwy, #108, Redondo Beach, CA 90277 Phone: 310-318-6665 Fax: 310-318-7117 | |
Dr. Peter B Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4518 186th St, #110, Redondo Beach, CA 90278 Phone: 315-725-3601 Fax: 315-725-5442 |