| Nicole Marie Mondoux, OP | |
|
3060 E 9th St Ste B, Oakland, CA 94601-2925 | |
| (510) 535-5500 | |
| (510) 535-4225 |
| Full Name | Nicole Marie Mondoux |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 3060 E 9th St Ste B, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053487033 | NPI | - | NPPES |
| 1124035159 | Other | SITE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT12619 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Mondoux, OP Po Box 22210, Oakland, CA 94623-2210 Ph: (510) 535-4000 | Nicole Marie Mondoux, OP 3060 E 9th St Ste B, Oakland, CA 94601-2925 Ph: (510) 535-5500 |
Karen Rose Chester, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3060 E 9th St, Suite B, Oakland, CA 94601 Phone: 510-535-5500 Fax: 510-535-4349 | |
Dr. Richard Wayne Jue, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2069 Mountain Blvd, Oakland, CA 94611 Phone: 510-339-9318 Fax: 510-339-3606 | |
Dr. Damon Matthew Ellis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3205 Grand Ave, Oakland, CA 94610 Phone: 510-444-0666 | |
Dr. Larry Alan Sarver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5321 College Ave, Oakland, CA 94618 Phone: 510-655-3797 Fax: 510-655-3701 | |
Diana C. Yuen, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3330 Grand Ave, Oakland, CA 94610 Phone: 510-832-3162 | |
Diana Pham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4760 Telegraph Ave, Oakland, CA 94609 Phone: 510-427-1184 | |
Dr. Lisa D. Kharrazi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 829 Broadway, Oakland, CA 94607 Phone: 510-465-5876 Fax: 510-238-5164 |