Lasik Eye Center Medical Corporation | |
5832 Beach Blvd Unit 109a, Buena Park, CA 90621-5500 | |
(714) 228-1888 | |
(714) 676-8308 |
Full Name | Lasik Eye Center Medical Corporation |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 5832 Beach Blvd Unit 109a, Buena Park, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427016120 | NPI | - | NPPES |
00A604450 | Medicaid | CA | |
GR89010 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | A60445 (California) | Primary |
Provider Name | Joseph Y Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1558458364 PECOS PAC ID: 6406840776 Enrollment ID: I20040413001139 |
Provider Name | Yun Jin Kim |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255431300 PECOS PAC ID: 4880587385 Enrollment ID: I20040413001208 |
Provider Name | Paul Alexan Blacharski |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215034335 PECOS PAC ID: 1951292606 Enrollment ID: I20040616001517 |
Provider Name | Irene I Yim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033257894 PECOS PAC ID: 0840212221 Enrollment ID: I20070821000200 |
Provider Name | Rohit Varma |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073670212 PECOS PAC ID: 8022165620 Enrollment ID: I20090420000138 |
Provider Name | John Jin Kim |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508050220 PECOS PAC ID: 8123159548 Enrollment ID: I20100629000753 |
Provider Name | Lisa H Dang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083938096 PECOS PAC ID: 2264653690 Enrollment ID: I20190403001713 |
Provider Name | Jing Wang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063167740 PECOS PAC ID: 4183003296 Enrollment ID: I20220621001415 |
Mailing Address | Practice Location Address |
---|---|
Lasik Eye Center Medical Corporation Po Box 190, Buena Park, CA 90621-0190 Ph: (714) 228-1888 | Lasik Eye Center Medical Corporation 5832 Beach Blvd Unit 109a, Buena Park, CA 90621-5500 Ph: (714) 228-1888 |