Michael James Thaanum, OD | |
500 Southland Mall, Hayward, CA 94545-2148 | |
(510) 887-2800 | |
(510) 887-2812 |
Full Name | Michael James Thaanum |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 500 Southland Mall, Hayward, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285785915 | NPI | - | NPPES |
1306035118 | Medicaid | CA | |
1306035118 | Other | CA | RETIRED RAILROAD MEDICARE |
6191070001 | Other | CA | DME MACS PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6571TPA (California) | Primary |
Provider Name | Advanced Eyecare Professional Optometric Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306035118 PECOS PAC ID: 9931263803 Enrollment ID: O20090513000471 |
Mailing Address | Practice Location Address |
---|---|
Michael James Thaanum, OD 228 Del Monte Shoppiing Center, Monterey, CA 93940 Ph: (831) 375-3771 | Michael James Thaanum, OD 500 Southland Mall, Hayward, CA 94545-2148 Ph: (510) 887-2800 |
Payal Bavishi, Optometrist Medicare: Medicare Enrolled Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 | |
Daniel Li-jen Wang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Southland Mall, Hayward, CA 94545 Phone: 510-887-2800 Fax: 510-887-2812 | |
Fairway Park Optometry Center Optometrist Medicare: Medicare Enrolled Practice Location: 31119 Mission Blvd, Hayward, CA 94544 Phone: 510-471-1234 Fax: 510-471-7414 | |
Ximena Maria Daza, OD Optometrist Medicare: Medicare Enrolled Practice Location: 31119 Mission Blvd, Hayward, CA 94544 Phone: 510-471-1234 Fax: 510-471-7414 | |
Mujda Zhublawar, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 Fax: 510-581-7368 | |
Dr. Dat Bui, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 Fax: 510-581-7368 | |
Angela Jean Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 |