South Pasadena Optometric Group, Inc. | |
729 Mission St Ste 200, South Pasadena, CA 91030-3072 | |
(626) 441-5300 | |
(626) 441-2880 |
Full Name | South Pasadena Optometric Group, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 729 Mission St Ste 200, South Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750416566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Frederick R Harris |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730151127 PECOS PAC ID: 6002920816 Enrollment ID: I20110120000297 |
Provider Name | Francisca E Escobar |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902191281 PECOS PAC ID: 3577732460 Enrollment ID: I20110810000390 |
Provider Name | Irene N Sang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073648861 PECOS PAC ID: 1456519693 Enrollment ID: I20120220000934 |
Provider Name | Shelly H Lowe |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144355975 PECOS PAC ID: 0840458717 Enrollment ID: I20120223000244 |
Provider Name | Cindy P Wang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649294174 PECOS PAC ID: 1759541089 Enrollment ID: I20120323000580 |
Provider Name | Annie C Lee |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871014753 PECOS PAC ID: 9133490675 Enrollment ID: I20170802001622 |
Provider Name | Lillian J Tsai |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841831062 PECOS PAC ID: 2062844616 Enrollment ID: I20191120000092 |
Provider Name | Christina Liu |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326677881 PECOS PAC ID: 6507281144 Enrollment ID: I20200803002520 |
Mailing Address | Practice Location Address |
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South Pasadena Optometric Group, Inc. 729 Mission St Ste 200, South Pasadena, CA 91030-3072 Ph: (626) 441-5300 | South Pasadena Optometric Group, Inc. 729 Mission St Ste 200, South Pasadena, CA 91030-3072 Ph: (626) 441-5300 |
Dr. Jamila Shani Wallace, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 Fair Oaks Ave, South Pasadena, CA 91030 Phone: 626-441-0770 | |
Dr. Irene Nora Sang, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Frederick R. Harris, O.d., Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1941 Huntington Dr, Suite F, South Pasadena, CA 91030 Phone: 626-799-2212 | |
Dr. Jaime Chan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1024 Mission St Ste B, South Pasadena, CA 91030 Phone: 626-460-6022 | |
Dr. Shelly Holcomb Lowe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Dr. Hripsime Shirvanian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1024 Mission St, Suite B, South Pasadena, CA 91030 Phone: 626-460-6022 Fax: 626-460-6024 | |
Christina Liu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 |