| Kristineh Melik-kasumyan, | |
|
2619 E Colorado Blvd # 150, Pasadena, CA 91107-3747 | |
| (626) 793-4168 | |
| Not Available |
| Full Name | Kristineh Melik-kasumyan |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2619 E Colorado Blvd # 150, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932788510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35005 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristineh Melik-kasumyan, 501 E Magnolia Blvd Apt 106, Burbank, CA 91501-1956 Ph: (818) 689-6590 | Kristineh Melik-kasumyan, 2619 E Colorado Blvd # 150, Pasadena, CA 91107-3747 Ph: (626) 793-4168 |
Dr. Mike V. Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 N Lake Ave, Suite 102, Pasadena, CA 91101 Phone: 626-356-8088 Fax: 626-356-8078 | |
Dr. Barbara Jill Armstrong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 Fax: 626-796-0189 | |
Tze Yu Tung, Optometrist Medicare: Medicare Enrolled Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 | |
Dr. Calvin Tan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 Fax: 626-796-0189 | |
Jessica Wai Chung Young, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 E California Blvd, Pasadena, CA 91105 Phone: 800-898-2020 | |
Jessica Chang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 477 E Colorado Blvd, Pasadena, CA 91101 Phone: 626-796-1191 Fax: 626-796-0189 | |
Accessoreyes Optometry Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 155 Cordova St, Unit 168, Pasadena, CA 91105 Phone: 626-577-8881 |