| Jeremy Allen Hart, OD | |
|
2615 Tuscany St, Corona, CA 92881-4631 | |
| (951) 268-3036 | |
| Not Available |
| Full Name | Jeremy Allen Hart |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2615 Tuscany St, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427778638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35212 (California) | Primary |
| Provider Name | Tony C Lieu Optometric Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154406866 PECOS PAC ID: 7214964279 Enrollment ID: O20050729000982 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Allen Hart, OD 2279 Eagle Glen Pkwy # 112-124, Corona, CA 92883-0790 Ph: () - | Jeremy Allen Hart, OD 2615 Tuscany St, Corona, CA 92881-4631 Ph: (951) 268-3036 |
Dr. Evelyn Lee, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2620 Tuscany St Ste 103, Corona, CA 92881 Phone: 951-372-9623 | |
Jonathan Chan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2615 Tuscany St, Corona, CA 92881 Phone: 951-268-3036 Fax: 951-735-2864 | |
Jenee Lee Od Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 480 N Mckinley St, Corona, CA 92879 Phone: 951-279-1987 Fax: 951-279-8355 | |
Dr. Gary Ray Bell, O.D., M.S. EDU Optometrist Medicare: Not Enrolled in Medicare Practice Location: 807 W Grand Blvd Ste A, Corona, CA 92882 Phone: 951-735-1002 Fax: 951-735-9150 | |
Dr. Angie Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 978 Villa Montes Cir, Corona, CA 92879 Phone: 951-977-0886 | |
Tony C Lieu Optometric Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 3833 Bedford Canyon Rd, Ste #c-101, Corona, CA 92883 Phone: 951-898-6979 Fax: 888-818-4787 | |
Cloverdale Optometric Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12672 Limonite Ave, Suite 3f, Corona, CA 92880 Phone: 951-582-9090 Fax: 951-582-9991 |