| South Gate Optometry Inc | |
|
3329 Tweedy Blvd, South Gate, CA 90280-4324 | |
| (323) 566-6183 | |
| Not Available |
| Full Name | South Gate Optometry Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3329 Tweedy Blvd, South Gate, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154514370 | NPI | - | NPPES |
| SD0099960 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9996T (California) | Primary |
| Provider Name | Felicia K Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386769362 PECOS PAC ID: 8022076819 Enrollment ID: I20041227000536 |
| Provider Name | Anna Marie Pennino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962495408 PECOS PAC ID: 4880770312 Enrollment ID: I20090130000486 |
| Provider Name | Jenny Sung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316249345 PECOS PAC ID: 1052585759 Enrollment ID: I20111115000315 |
| Provider Name | Heidi Baxter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295166296 PECOS PAC ID: 8729219878 Enrollment ID: I20140402002209 |
| Provider Name | Fabian Corona |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821401886 PECOS PAC ID: 8729203708 Enrollment ID: I20140707002034 |
| Provider Name | Sandra Ruezga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083040992 PECOS PAC ID: 7719105659 Enrollment ID: I20140905001686 |
| Provider Name | Marilyn Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376079020 PECOS PAC ID: 9234402488 Enrollment ID: I20170909000029 |
| Mailing Address | Practice Location Address |
|---|---|
| South Gate Optometry Inc 3329 Tweedy Blvd, South Gate, CA 90280-4324 Ph: (323) 566-6183 | South Gate Optometry Inc 3329 Tweedy Blvd, South Gate, CA 90280-4324 Ph: (323) 566-6183 |
Hanh H Tran Od, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4651 Firestone Blvd, South Gate, CA 90280 Phone: 323-564-2872 Fax: 323-564-0016 | |
Jonathan Kiriboon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3329 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-6183 | |
Dr. Charles Howard Levy, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8106 Long Beach Blvd, South Gate, CA 90280 Phone: 323-585-5411 Fax: 323-585-6515 | |
Felicia Kang Chen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3329 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-6183 | |
Dr. Katelyn Terese Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10920 Garfield Ave Ste A2, South Gate, CA 90280 Phone: 562-861-9098 Fax: 562-861-9533 | |
Mr. Jack Paul Melmed, OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3329 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-6183 Fax: 323-566-0319 |