Optometric Specialties Inc | |
3750 Santa Rosalia Dr Ste 102, Los Angeles, CA 90008-3685 | |
(323) 294-7517 | |
Not Available |
Full Name | Optometric Specialties Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 3750 Santa Rosalia Dr Ste 102, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023094570 | NPI | - | NPPES |
GSD004160 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | COR 889 (California) | Primary |
332H00000X | Eyewear Supplier | COR 889 (California) | Secondary |
Provider Name | Eric Gaylord |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255317780 PECOS PAC ID: 2163487489 Enrollment ID: I20041129000747 |
Provider Name | Ann I Gaylord |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851561930 PECOS PAC ID: 4981765617 Enrollment ID: I20090721000410 |
Provider Name | Natalie Imuetiyan Osayande |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851941942 PECOS PAC ID: 7810329984 Enrollment ID: I20191111001438 |
Mailing Address | Practice Location Address |
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Optometric Specialties Inc 3750 Santa Rosalia Dr Ste 102, Los Angeles, CA 90008-3685 Ph: (323) 294-7517 | Optometric Specialties Inc 3750 Santa Rosalia Dr Ste 102, Los Angeles, CA 90008-3685 Ph: (323) 294-7517 |
Roxana Gilda De La Rosa, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 1/2 S Vermont Ave, Los Angeles, CA 90004 Phone: 213-383-8036 | |
Dr. Lernik Torossian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 835 W Jefferson Blvd Unit 7-d, Los Angeles, CA 90089 Phone: 323-442-6335 | |
Optometric Eyesite Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10939 West Pico Blvd, Los Angeles, CA 90064 Phone: 310-899-0077 | |
Vision To Learn Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025 Phone: 800-485-9196 Fax: 213-402-5261 | |
Beverly Grove Vision Care Optometry, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 S Fairfax Ave, Los Angeles, CA 90036 Phone: 323-879-9259 | |
Narda Sanchez, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 W. Sunset Blvd, Los Angeles, CA 90028 Phone: 323-462-2816 | |
Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033 |