Steve Phung, OD | |
11412 Washington Blvd, Whittier, CA 90606-3122 | |
(562) 908-0510 | |
(562) 908-0511 |
Full Name | Steve Phung |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 11412 Washington Blvd, Whittier, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144212713 | NPI | - | NPPES |
AV936Y | Other | CA | MEDICARE PTAN |
SD0110972 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 11097T (California) | Primary |
Provider Name | Steve Phung Optometry Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275719957 PECOS PAC ID: 7911058391 Enrollment ID: O20090624000563 |
Mailing Address | Practice Location Address |
---|---|
Steve Phung, OD 11412 Washington Blvd, Whittier, CA 90606-3122 Ph: (562) 908-0510 | Steve Phung, OD 11412 Washington Blvd, Whittier, CA 90606-3122 Ph: (562) 908-0510 |
Dr. Kenzo Sean Otsuji, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 13313 Telegraph Rd, Whittier, CA 90605 Phone: 562-946-1957 Fax: 562-941-6155 | |
Dr. Heather Dana Lazaro, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7749 Painter Ave, Whittier, CA 90602 Phone: 562-945-6391 | |
Mr. Mark Anthony Galvan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6711 Comstock Ave, Whittier, CA 90601 Phone: 562-698-0027 Fax: 562-693-4418 | |
Dr. Tri Ngo, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15614 Whittwood Ln, Whittier, CA 90603 Phone: 562-383-9320 | |
Dr. Candice Anne Galvan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6711 Comstock Ave, Whittier, CA 90601 Phone: 562-698-0027 Fax: 562-693-4418 | |
Mr. David P. West, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15925 Whittier Blvd, Whittier, CA 90603 Phone: 562-947-1318 Fax: 562-947-4785 | |
Sandra Ruezga, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11245 Washington Blvd, Whittier, CA 90606 Phone: 562-692-1208 |