| Oakland Vision Center | |
|
1960 Broadway, Oakland, CA 94612-2206 | |
| (510) 893-5566 | |
| (510) 893-3921 |
| Full Name | Oakland Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1960 Broadway, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891982948 | NPI | - | NPPES |
| 11136T | Other | CA | OPTOMETRY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11136T (California) | Primary |
| Provider Name | Tanya N Gill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659333995 PECOS PAC ID: 2961592209 Enrollment ID: I20071226000348 |
| Provider Name | Gaganpreet K Khela |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093157877 PECOS PAC ID: 0749503894 Enrollment ID: I20141223000345 |
| Provider Name | Anna Lam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306221890 PECOS PAC ID: 2769790252 Enrollment ID: I20151002000643 |
| Provider Name | Michael M Rosner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669968095 PECOS PAC ID: 5890046536 Enrollment ID: I20180919003600 |
| Provider Name | Jessica Luu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619364775 PECOS PAC ID: 2860778768 Enrollment ID: I20211013003216 |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Vision Center 1960 Broadway, Oakland, CA 94612-2206 Ph: (510) 893-5566 | Oakland Vision Center 1960 Broadway, Oakland, CA 94612-2206 Ph: (510) 893-5566 |
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 |