Kenneth Francis Van, OD | |
5729 Nutwood Cir, Simi Valley, CA 93063-3566 | |
(805) 587-3693 | |
Not Available |
Full Name | Kenneth Francis Van |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 5729 Nutwood Cir, Simi Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982191110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 33905TLG (California) | Primary |
Provider Name | Fourth Optometric Care Of California |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497499974 PECOS PAC ID: 6305210345 Enrollment ID: O20230315000196 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Francis Van, OD 5729 Nutwood Cir, Simi Valley, CA 93063-3566 Ph: () - | Kenneth Francis Van, OD 5729 Nutwood Cir, Simi Valley, CA 93063-3566 Ph: (805) 587-3693 |
Yara Chiha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2045 Royal Ave, Ste 234, Simi Valley, CA 93065 Phone: 055-271-4178 Fax: 805-584-2477 | |
Dr. Maurice Feldman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1420 E Los Angeles Ave, Suite B, Simi Valley, CA 93065 Phone: 805-526-0842 Fax: 805-526-1221 | |
Stanley Martin Eckert, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 255 Cochran St, Simi Valley, CA 93065 Phone: 805-581-5466 | |
Summit Optometric Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 690 E Los Angeles Ave, Suite A, Simi Valley, CA 93065 Phone: 626-376-3513 Fax: 805-250-1001 | |
Dr. Amanda J Setto, OD, FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4370 Eve Rd, Simi Valley, CA 93063 Phone: 805-915-4400 Fax: 805-915-4401 | |
Dr. Gracie Ner, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 2941 Cochran St Ste 5, Simi Valley, CA 93065 Phone: 805-583-3028 | |
Dr. Tuyen Hong Huynh, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 51 Tierra Rejada Rd, Simi Valley, CA 93065 Phone: 818-571-4083 |