| Imperial Valley Optometric | |
|
3451 S Dogwood Ave, Ste.1334, El Centro, CA 92243-7906 | |
| (760) 336-3003 | |
| (888) 210-5799 |
| Full Name | Imperial Valley Optometric |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3451 S Dogwood Ave, El Centro, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316950207 | NPI | - | NPPES |
| SD0119600 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CA11368T (California) | Secondary |
| 152W00000X | Optometrist | CA11166T (California) | Secondary |
| 152W00000X | Optometrist | CA11960T (California) | Primary |
| Provider Name | Emily S Sandoc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992969794 PECOS PAC ID: 8224198627 Enrollment ID: I20081114000460 |
| Provider Name | May C Tam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548255896 PECOS PAC ID: 4486796018 Enrollment ID: I20100120000709 |
| Provider Name | Jade Nm Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457303398 PECOS PAC ID: 2062547466 Enrollment ID: I20100323000765 |
| Provider Name | Bruce C Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376839019 PECOS PAC ID: 5294908059 Enrollment ID: I20111024000531 |
| Provider Name | Kuen-chine Lau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821001645 PECOS PAC ID: 6901073170 Enrollment ID: I20120112000059 |
| Provider Name | Henry C Lin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861405664 PECOS PAC ID: 9830358977 Enrollment ID: I20120309000382 |
| Provider Name | Jennifer Gee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336589332 PECOS PAC ID: 0749503563 Enrollment ID: I20150102000575 |
| Provider Name | Salvador Vallarta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083700884 PECOS PAC ID: 9133442734 Enrollment ID: I20150107001411 |
| Provider Name | Mary D Vivirito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477968667 PECOS PAC ID: 9739410689 Enrollment ID: I20191008002592 |
| Provider Name | Harrison John Vanderlinde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336798123 PECOS PAC ID: 8022340439 Enrollment ID: I20191104001395 |
| Provider Name | Charles L Tu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073137691 PECOS PAC ID: 8224458930 Enrollment ID: I20201019002933 |
| Provider Name | Tiffany Bich Luu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659065001 PECOS PAC ID: 7416302963 Enrollment ID: I20231018002621 |
| Provider Name | Mikala Windsor Herr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689455057 PECOS PAC ID: 4587009063 Enrollment ID: I20240225000048 |
| Provider Name | Stephanie T Cao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215660436 PECOS PAC ID: 2062853989 Enrollment ID: I20240509002250 |
| Provider Name | Lawrence Kazzazi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689406068 PECOS PAC ID: 5597206771 Enrollment ID: I20240916003499 |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Valley Optometric 3451 S Dogwood Ave, Ste.1334, El Centro, CA 92243-7906 Ph: (760) 336-3003 | Imperial Valley Optometric 3451 S Dogwood Ave, Ste.1334, El Centro, CA 92243-7906 Ph: (760) 336-3003 |
Christopher M Wright Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 534 S 8th St, El Centro, CA 92243 Phone: 760-352-4361 Fax: 760-352-2899 | |
Christopher Michael Wright, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 534 S 8th St, El Centro, CA 92243 Phone: 760-352-4361 Fax: 760-352-4634 | |
Dr. William Frederick Middleton Jr., OD Optometrist Medicare: Medicare Enrolled Practice Location: 496 W Main St, El Centro, CA 92243 Phone: 760-353-1190 Fax: 760-353-2965 | |
Trilogy Eye Medical Group, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1420 Ocotillo Dr, Suite D, El Centro, CA 92243 Phone: 760-353-1140 Fax: 760-353-1153 | |
Dr. David Paul Espinosa, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 828 N Imperial Ave, El Centro, CA 92243 Phone: 760-352-7460 Fax: 760-352-7017 | |
Imperial Valley Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 812 N Imperial Ave, El Centro, CA 92243 Phone: 760-352-7460 |