Terra Leight, OD | |
351 E Temple St # 112c, Los Angeles, CA 90012 | |
(213) 253-2677 | |
Not Available |
Full Name | Terra Leight |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 7 Years |
Location | 351 E Temple St # 112c, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447781315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 33712 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harvard Eye Associates Fka Roger Ohanesian Md And Edward Kim Md Inc | 4789632167 | 17 |
Provider Name | Harvard Eye Associates Fka Roger Ohanesian Md & Edward Kim Md Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356371074 PECOS PAC ID: 4789632167 Enrollment ID: O20050112000495 |
Provider Name | Riverside Eye Partners A Professional Medical Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710460878 PECOS PAC ID: 6204160633 Enrollment ID: O20190619000036 |
Mailing Address | Practice Location Address |
---|---|
Terra Leight, OD 559 Amethyst Ln, Walnut, CA 91789-4716 Ph: (626) 589-3945 | Terra Leight, OD 351 E Temple St # 112c, Los Angeles, CA 90012 Ph: (213) 253-2677 |
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