| San Dimas Optometry | |
|
120 W Bonita Ave, Ste A, San Dimas, CA 91773 | |
| (909) 599-1100 | |
| (909) 394-1743 |
| Full Name | San Dimas Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 120 W Bonita Ave, San Dimas, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457322737 | NPI | - | NPPES |
| 0430950001 | Other | CA | DMERC |
| SD0083640 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8364T (California) | Primary |
| Provider Name | Richard Garratt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598813800 PECOS PAC ID: 1355478157 Enrollment ID: I20100428000203 |
| Provider Name | Joann Henwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689024523 PECOS PAC ID: 7719274638 Enrollment ID: I20160921000425 |
| Provider Name | Abigayle Antonio Ancheta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134640048 PECOS PAC ID: 3779998950 Enrollment ID: I20210222000851 |
| Provider Name | Marisol Hernandez-sanchez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104547272 PECOS PAC ID: 9234515321 Enrollment ID: I20220927001439 |
| Provider Name | Karina Delgado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548985153 PECOS PAC ID: 6002286846 Enrollment ID: I20230112000281 |
| Mailing Address | Practice Location Address |
|---|---|
| San Dimas Optometry 120 W Bonita Ave, Ste A, San Dimas, CA 91773 Ph: (909) 599-1100 | San Dimas Optometry 120 W Bonita Ave, Ste A, San Dimas, CA 91773 Ph: (909) 599-1100 |
Melissa Zhao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave, San Dimas, CA 91773 Phone: 909-394-0462 | |
Dr. Abigayle Ancheta Gutierrez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773 Phone: 909-599-1100 | |
Tedder Optometry Group, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 939 W Arrow Hwy, San Dimas, CA 91773 Phone: 805-624-1255 | |
Suzan Burmayan, O.d., A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773 Phone: 909-599-1100 | |
Dr. Elizabeth M Tsay, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave Ste 110b, San Dimas, CA 91773 Phone: 909-394-0462 | |
Justin Hua, Optometrist Medicare: Medicare Enrolled Practice Location: 520 N Lone Hill Ave, San Dimas, CA 91773 Phone: 909-962-5518 | |
Dr. Grant Andrew Paul, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 963 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-5666 |