| Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp | |
|
2901 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-4901 | |
| (310) 829-0055 | |
| (310) 453-2971 |
| Full Name | Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2901 Wilshire Blvd, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114948866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT6805TPA (California) | Primary |
| 152W00000X | Optometrist | OPT9103TPA (California) | Secondary |
| Provider Name | Richard Silver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609851302 PECOS PAC ID: 4284520743 Enrollment ID: I20090223000099 |
| Provider Name | Randy Taketa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881679587 PECOS PAC ID: 0244381861 Enrollment ID: I20090622000491 |
| Provider Name | Scott D Doherty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740733179 PECOS PAC ID: 9638441512 Enrollment ID: I20230126002354 |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp 2901 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-4901 Ph: (310) 829-0055 | Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp 2901 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-4901 Ph: (310) 829-0055 |
Irina Yakubin, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 718 Montana Ave, Santa Monica, CA 90403 Phone: 310-917-4474 | |
Cooper Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 2730 Wilshire Blvd, Ste 545, Santa Monica, CA 90403 Phone: 310-315-9122 Fax: 310-315-9122 | |
Dr. Trang Van Nguyen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2901 Wilshire Blvd, Suite 100, Santa Monica, CA 90403 Phone: 310-449-0066 Fax: 310-453-2971 | |
Dr. Bijan Cohenmehr, OD DR OF OPTOMETRY Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3116 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-828-2010 Fax: 310-828-3447 | |
Dr. Margaret Lai, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2512 Washington Ave, Santa Monica, CA 90403 Phone: 310-453-5901 | |
Milton Mitsuyoshi Tari, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 195 Santa Monica Pl, #195, Santa Monica, CA 90401 Phone: 310-576-6023 Fax: 310-393-3883 |