Spectrum Eyecare Optometry Inc | |
425 W Bonita Ave, Suite 110b, San Dimas, CA 91773-2541 | |
(909) 394-0462 | |
Not Available |
Full Name | Spectrum Eyecare Optometry Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 425 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 |
---|---|---|---|
1801949573 | NPI | - | NPPES |
5892280001 | Other | CA | PTAN |
W20601 | Other | CA | MEDICARE GROUP NUMBER |
DF7961 | Other | CA | RAILROAD GROUP NUMBER |
P00393465 | Other | CA | RAILROAD PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 11528T (California) | Primary |
Provider Name | Diana Lynn Mcknight |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457310500 PECOS PAC ID: 9335110451 Enrollment ID: I20040806000509 |
Provider Name | Lorna Reyes |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316098999 PECOS PAC ID: 7719956200 Enrollment ID: I20040930001053 |
Provider Name | David A Swearingen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912964834 PECOS PAC ID: 8820023856 Enrollment ID: I20050928001231 |
Provider Name | Pahoua Xai Xa Vue |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477641934 PECOS PAC ID: 1052332145 Enrollment ID: I20051216000374 |
Provider Name | Steve S Penn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942454749 PECOS PAC ID: 8022171446 Enrollment ID: I20090112000534 |
Provider Name | James W Cummins |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568595791 PECOS PAC ID: 4789731605 Enrollment ID: I20090413000092 |
Provider Name | Jennifer E Wademan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023274396 PECOS PAC ID: 7810040797 Enrollment ID: I20090727000183 |
Provider Name | Arian Fartash |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417263500 PECOS PAC ID: 7012199383 Enrollment ID: I20110308000308 |
Provider Name | Chiao-chiao Laura Chu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215240510 PECOS PAC ID: 9032395538 Enrollment ID: I20110518000258 |
Provider Name | Cassandra Thompson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225362908 PECOS PAC ID: 0648457168 Enrollment ID: I20110610000233 |
Provider Name | Laila Mousavi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033405568 PECOS PAC ID: 5294990511 Enrollment ID: I20120711000268 |
Provider Name | Erica M Urrea |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386910552 PECOS PAC ID: 9739330176 Enrollment ID: I20121113000523 |
Provider Name | Melissa Zhao |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013323047 PECOS PAC ID: 5597086777 Enrollment ID: I20150601001536 |
Provider Name | Jacquelyn Delos Santos Wang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215319496 PECOS PAC ID: 3274840574 Enrollment ID: I20150918002147 |
Provider Name | Sandra W Chen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518263862 PECOS PAC ID: 4789981168 Enrollment ID: I20160330001120 |
Provider Name | Erica Perlman-hensen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063865590 PECOS PAC ID: 7517251333 Enrollment ID: I20170615002624 |
Provider Name | Ashley Nakamura |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992251490 PECOS PAC ID: 7012286313 Enrollment ID: I20170629001701 |
Provider Name | Julie T Lam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730560889 PECOS PAC ID: 5698030963 Enrollment ID: I20180607002308 |
Provider Name | Vione Wong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578184156 PECOS PAC ID: 5193149722 Enrollment ID: I20200715003266 |
Provider Name | Christina Liu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326677881 PECOS PAC ID: 6507281144 Enrollment ID: I20200803002520 |
Provider Name | Alyssa Valenzuela |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780302372 PECOS PAC ID: 5799161113 Enrollment ID: I20221007000763 |
Provider Name | Irene Minjee Park |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699391631 PECOS PAC ID: 2163849977 Enrollment ID: I20221014002213 |
Provider Name | Michelle Jacqueline Alcala |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316659360 PECOS PAC ID: 9931574951 Enrollment ID: I20230405000725 |
Provider Name | Kellie-anne Chiemi Ishii-kim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710465372 PECOS PAC ID: 1153674577 Enrollment ID: I20230516003031 |
Provider Name | Stanley Plucinik |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124751417 PECOS PAC ID: 4284094558 Enrollment ID: I20230718002675 |
Provider Name | Leslie Perez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942920939 PECOS PAC ID: 2466813498 Enrollment ID: I20230807002044 |
Provider Name | Viet Hoang Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861170573 PECOS PAC ID: 6103280532 Enrollment ID: I20230918003394 |
Mailing Address | Practice Location Address |
---|---|
Spectrum Eyecare Optometry Inc 425 W Bonita Ave, Suite 110b, San Dimas, CA 91773-2541 Ph: (909) 394-0462 | Spectrum Eyecare Optometry Inc 425 W Bonita Ave, Suite 110b, San Dimas, CA 91773-2541 Ph: (909) 394-0462 |
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 |