| Kimberly Peterson, O.d., Inc. | |
|
1850 N Riverside Ave, Suite 100, Rialto, CA 92376-8071 | |
| (909) 421-3030 | |
| (909) 421-3059 |
| Full Name | Kimberly Peterson, O.d., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1850 N Riverside Ave, Rialto, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003120452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11094T (California) | Primary |
| Provider Name | Phuong T To |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215070461 PECOS PAC ID: 4880602036 Enrollment ID: I20060403000081 |
| Provider Name | Kimberly Peterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922141175 PECOS PAC ID: 9436273893 Enrollment ID: I20100908000253 |
| Provider Name | Marvin Chi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831750942 PECOS PAC ID: 7911239835 Enrollment ID: I20191025002501 |
| Provider Name | Carol Lafradez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346885985 PECOS PAC ID: 4880028315 Enrollment ID: I20191216002952 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Peterson, O.d., Inc. 1850 N Riverside Ave, Suite 100, Rialto, CA 92376-8071 Ph: (909) 421-3030 | Kimberly Peterson, O.d., Inc. 1850 N Riverside Ave, Suite 100, Rialto, CA 92376-8071 Ph: (909) 421-3030 |
Andrew Thien Ngo, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1175 Renaissance Pkwy Ste 1050, Rialto, CA 92376 Phone: 623-486-1888 | |
Dr. Phuong To, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1850 N Riverside Ave, Suite 100, Rialto, CA 92376 Phone: 909-421-3030 Fax: 909-421-3059 | |
Dennis Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1366 S Riverside Ave, Rialto, CA 92376 Phone: 909-421-2020 Fax: 909-285-9586 | |
Gary Melvin Freestone, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1850 N Riverside Ave, Suite 220, Rialto, CA 92376 Phone: 909-875-1144 Fax: 909-875-0640 | |
Carol Lafradez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1850 N Riverside Ave Ste 100, Rialto, CA 92376 Phone: 909-421-3030 | |
Franchesca Sia, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1175 Renaissance Pkwy Ste 1050, Rialto, CA 92376 Phone: 909-546-3465 |