| Jimmy K. So, Od, Inc. | |
|
1261 W Foothill Blvd Ste B, Upland, CA 91786-8019 | |
| (909) 982-9366 | |
| (909) 982-2477 |
| Full Name | Jimmy K. So, Od, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1261 W Foothill Blvd Ste B, Upland, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154746345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10554T (California) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 10554T (California) | Secondary |
| Provider Name | Jimmy K So |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548233059 PECOS PAC ID: 7719101005 Enrollment ID: I20140612001156 |
| Provider Name | Julie Yip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477994085 PECOS PAC ID: 3173814670 Enrollment ID: I20160613002270 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy K. So, Od, Inc. 1261 W Foothill Blvd Ste B, Upland, CA 91786-8019 Ph: (909) 982-9366 | Jimmy K. So, Od, Inc. 1261 W Foothill Blvd Ste B, Upland, CA 91786-8019 Ph: (909) 982-9366 |
Dr. Lethuy T Nguyen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 553 N Mountain Ave, Upland, CA 91786 Phone: 909-985-2876 Fax: 909-946-8585 | |
Rainbow Optometry,inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1183 E Foothill Blvd # 140, Upland, CA 91786 Phone: 909-608-0601 Fax: 909-608-0610 | |
Dr. Diana Hanna, OD Optometrist Medicare: Medicare Enrolled Practice Location: 555 N. 13th Ave., Upland, CA 91786 Phone: 800-345-8979 Fax: 909-949-3967 | |
Danny Duy Vu, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1540 W Foothill Blvd, Upland, CA 91786 Phone: 909-981-7634 Fax: 909-985-7497 | |
Donald H Spaulding Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 944-a West Foothill Blvd, Upland, CA 91786 Phone: 909-982-3040 Fax: 909-982-9840 | |
Lucent Optometry Montclair Inc Optometrist Medicare: Medicare Enrolled Practice Location: 471 N Central Ave, Upland, CA 91786 Phone: 909-788-3433 Fax: 099-129-8096 |