| The Berkeley Optometric Group | |
|
2414 Shattuck Ave, Berkeley, CA 94704-2023 | |
| (510) 843-1228 | |
| (510) 843-2080 |
| Full Name | The Berkeley Optometric Group |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2414 Shattuck Ave, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639394166 | NPI | - | NPPES |
| GSD000060 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | FNP 393 (California) | Primary |
| Provider Name | Mark A Fujikawa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366507352 PECOS PAC ID: 6800976077 Enrollment ID: I20090206000433 |
| Provider Name | Stephen R Chun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942366133 PECOS PAC ID: 5890846760 Enrollment ID: I20090706000683 |
| Provider Name | Rose Kim Hoang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588285811 PECOS PAC ID: 5496179905 Enrollment ID: I20200716002784 |
| Mailing Address | Practice Location Address |
|---|---|
| The Berkeley Optometric Group 2414 Shattuck Ave, Berkeley, CA 94704-2023 Ph: (510) 843-1228 | The Berkeley Optometric Group 2414 Shattuck Ave, Berkeley, CA 94704-2023 Ph: (510) 843-1228 |
Dr. Carl H. Jacobsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720 Phone: 510-643-9826 Fax: 510-642-4025 | |
Nancy Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: University Of California School Of Optometry, 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-0945 | |
Annie Chang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1931 Dwight Way, Apt 20, Berkeley, CA 94704 Phone: 310-619-1266 | |
Dr. John Corzine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Minor Hall, University Of California, Berkeley, CA 94720 Phone: 510-643-2793 Fax: 510-643-5109 | |
Dr. Ghazal Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-2020 | |
Anne Tasaki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, Berkeley, CA 94720 Phone: 510-642-2020 | |
Daphne Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-642-0945 |