| Park Avenue Optometry Inc | |
|
648 N Park Ave, Pomona, CA 91768-3621 | |
| (909) 622-3531 | |
| (909) 622-4897 |
| Full Name | Park Avenue Optometry Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 648 N Park Ave, Pomona, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508018748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 12788 (California) | Primary |
| Provider Name | Rudolph G Alanis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770612699 PECOS PAC ID: 4880756022 Enrollment ID: I20081222000343 |
| Provider Name | Dianna Kattengell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861800724 PECOS PAC ID: 2668797077 Enrollment ID: I20150205002115 |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Optometry Inc 648 N Park Ave, Pomona, CA 91768-3621 Ph: (909) 622-3531 | Park Avenue Optometry Inc 648 N Park Ave, Pomona, CA 91768-3621 Ph: (909) 622-3531 |
Dr. Valerie Quan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E Second St, Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640 | |
Dr. Amber Lee Candelaria, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 795 E 2nd St, Pomona, CA 91766 Phone: 909-623-6116 | |
Dr. Stacy Nina Hu, O.D., M.S. Optometrist Medicare: Medicare Enrolled Practice Location: 795 E. Second St., Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-706-3773 | |
Joseph M Gray, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E. Second St., Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640 | |
Linda Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 Rio Rancho Rd, Pomona, CA 91766 Phone: 909-629-2472 | |
Christine Pham, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E. Second Street, Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640 | |
Munish Sharma, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E 2nd St, Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640 |