| Pinhkeo Southaphanh O D Inc | |
|
415 E Ocean Ave Ste B, Lompoc, CA 93436-6839 | |
| (805) 819-0742 | |
| (805) 741-7367 |
| Full Name | Pinhkeo Southaphanh O D Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 415 E Ocean Ave Ste B, Lompoc, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104371343 | NPI | - | NPPES |
| 1538139381 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 12359TLG (California) | Primary |
| Provider Name | Pinhkeo Southaphanh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538139381 PECOS PAC ID: 2365436045 Enrollment ID: I20040414000753 |
| Provider Name | Corinne Kao-yu Chick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033637574 PECOS PAC ID: 2466706346 Enrollment ID: I20181112002081 |
| Mailing Address | Practice Location Address |
|---|---|
| Pinhkeo Southaphanh O D Inc 415 E Ocean Ave Ste B, Lompoc, CA 93436-6839 Ph: (805) 819-0742 | Pinhkeo Southaphanh O D Inc 415 E Ocean Ave Ste B, Lompoc, CA 93436-6839 Ph: (805) 819-0742 |
Kleen Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826 | |
Daniel R. Taketa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 E Ocean Ave, Lompoc, CA 93436 Phone: 805-736-7010 Fax: 805-736-7589 | |
Clear Vision Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 E Ocean Ave Ste B, Lompoc, CA 93436 Phone: 805-819-0742 Fax: 805-741-7367 | |
Dr. Steven Matthew Kleen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 701 W Central Ave, Lompoc, CA 93436 Phone: 805-737-1826 | |
Kendall Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Central Ave Ste 102, Lompoc, CA 93436 Phone: 805-736-2020 Fax: 805-737-1733 | |
Dr. David Earl Bowin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 W Central Ave, Lompoc, CA 93436 Phone: 805-736-2020 |