U.c. Berkeley School Of Optometry | |
230 Minor Hall, Berkeley, CA 94720-0001 | |
(510) 642-0945 | |
Not Available |
Full Name | U.c. Berkeley School Of Optometry |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 230 Minor Hall, 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 |
---|---|---|---|
1306908058 | NPI | - | NPPES |
GSD000370 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Kathryn A Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578630141 PECOS PAC ID: 8820980022 Enrollment ID: I20040324001844 |
Provider Name | Marianne Pia Hoenig |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467575993 PECOS PAC ID: 9739195249 Enrollment ID: I20060221000539 |
Provider Name | Nancy A Mcnamara |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295767176 PECOS PAC ID: 4082617824 Enrollment ID: I20060816000151 |
Provider Name | Isabel Kazemi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972572980 PECOS PAC ID: 4688766520 Enrollment ID: I20070822001469 |
Provider Name | Ava J Wu |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1629162110 PECOS PAC ID: 2163500570 Enrollment ID: I20080425000415 |
Provider Name | Tan Ngoc Truong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487707071 PECOS PAC ID: 9830260272 Enrollment ID: I20080612000550 |
Provider Name | Shirin Barez |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659338952 PECOS PAC ID: 0941368161 Enrollment ID: I20081016000458 |
Provider Name | Lillian Wang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902012362 PECOS PAC ID: 5991864704 Enrollment ID: I20081110000102 |
Provider Name | Anne Moy |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184788713 PECOS PAC ID: 0840352043 Enrollment ID: I20081223000126 |
Provider Name | Christina Wilmer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073677613 PECOS PAC ID: 9133282874 Enrollment ID: I20090107000282 |
Provider Name | Meredith M Whiteside |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437205085 PECOS PAC ID: 4981767647 Enrollment ID: I20090107000443 |
Provider Name | Carl Jacobsen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003941766 PECOS PAC ID: 8426112301 Enrollment ID: I20090122000232 |
Provider Name | Glen Y Ozawa |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922046994 PECOS PAC ID: 7315095684 Enrollment ID: I20090427000288 |
Provider Name | Marlena Chu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255597266 PECOS PAC ID: 2062553886 Enrollment ID: I20091230000492 |
Provider Name | Jeffrey Krohn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609871961 PECOS PAC ID: 4688720402 Enrollment ID: I20101203000258 |
Provider Name | Nancy L Carteron |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1669582458 PECOS PAC ID: 6305033465 Enrollment ID: I20101215000455 |
Provider Name | Dennis Fong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629103247 PECOS PAC ID: 7012197197 Enrollment ID: I20110207000491 |
Provider Name | Kathy T Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346355401 PECOS PAC ID: 3274621941 Enrollment ID: I20110401000800 |
Provider Name | Harry Miguel Green |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013172477 PECOS PAC ID: 5597949560 Enrollment ID: I20110415000433 |
Provider Name | Debora Lee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750543922 PECOS PAC ID: 1456416536 Enrollment ID: I20110420000371 |
Provider Name | Walter A Wong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689647414 PECOS PAC ID: 4688844608 Enrollment ID: I20110831000297 |
Provider Name | Linh Le |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427330885 PECOS PAC ID: 6305019803 Enrollment ID: I20111028000177 |
Provider Name | Pam Satjawatcharaphong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700167061 PECOS PAC ID: 6204009152 Enrollment ID: I20111109000508 |
Provider Name | Kuniyoshi Kanai |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528252384 PECOS PAC ID: 2860669843 Enrollment ID: I20120202000388 |
Provider Name | Cheyenne Huber |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679861272 PECOS PAC ID: 7618139023 Enrollment ID: I20120501000696 |
Provider Name | Melanie Mason |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891082913 PECOS PAC ID: 0840452264 Enrollment ID: I20120501000743 |
Provider Name | Dennis S Burger |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942357181 PECOS PAC ID: 5991967028 Enrollment ID: I20120507000188 |
Provider Name | Yu-tai Wu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568725562 PECOS PAC ID: 2567604184 Enrollment ID: I20130812000389 |
Provider Name | Charlie Van Ngo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417202474 PECOS PAC ID: 4880850684 Enrollment ID: I20131226001515 |
Provider Name | Jeremy Shumaker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730389347 PECOS PAC ID: 7517196207 Enrollment ID: I20140128001845 |
Provider Name | Anne Tasaki |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043640741 PECOS PAC ID: 1557590205 Enrollment ID: I20140129001710 |
Provider Name | Meng Lin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396180600 PECOS PAC ID: 0244469401 Enrollment ID: I20140210001505 |
Provider Name | Sarah Kochik |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790190585 PECOS PAC ID: 2264657162 Enrollment ID: I20140709002067 |
Provider Name | Kerri Yoshiyama |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457466674 PECOS PAC ID: 0547281628 Enrollment ID: I20140808000693 |
Provider Name | Melissa A Valdellon |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326328790 PECOS PAC ID: 3072785203 Enrollment ID: I20151013001882 |
Provider Name | Angela V Shahbazian |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891147161 PECOS PAC ID: 4284929506 Enrollment ID: I20160825002695 |
Provider Name | Alfred Fu Vong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528441086 PECOS PAC ID: 0547558454 Enrollment ID: I20161010000800 |
Provider Name | Sarah Arneal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699143248 PECOS PAC ID: 5496034357 Enrollment ID: I20161116002081 |
Provider Name | Karen Eula Molina |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770006751 PECOS PAC ID: 6800169046 Enrollment ID: I20170908002821 |
Provider Name | Celia R Gong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619498656 PECOS PAC ID: 5193098341 Enrollment ID: I20170908003231 |
Provider Name | Teresa Ngoc Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538685342 PECOS PAC ID: 7719250836 Enrollment ID: I20170911002945 |
Provider Name | Tran N Bianconi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760995765 PECOS PAC ID: 5395089916 Enrollment ID: I20181207000712 |
Provider Name | Yiyi Wang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194379917 PECOS PAC ID: 5698102861 Enrollment ID: I20200227002455 |
Provider Name | Quan Dao |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669096384 PECOS PAC ID: 1254742596 Enrollment ID: I20201118000673 |
Provider Name | Liandra Jung |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386252849 PECOS PAC ID: 1153732375 Enrollment ID: I20201119001335 |
Provider Name | Jennifer Fisher |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083029946 PECOS PAC ID: 4587882857 Enrollment ID: I20210111002309 |
Provider Name | Nicole Mercho |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306464680 PECOS PAC ID: 4880093236 Enrollment ID: I20210604001415 |
Provider Name | Sam Lee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922779404 PECOS PAC ID: 0143618934 Enrollment ID: I20211027003257 |
Provider Name | Adrienne Coulter |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447923073 PECOS PAC ID: 5890183594 Enrollment ID: I20211029001571 |
Provider Name | Michael Wong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326719907 PECOS PAC ID: 6608265467 Enrollment ID: I20211116002705 |
Provider Name | Sze Kei Yeung |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376206177 PECOS PAC ID: 5294125613 Enrollment ID: I20211129001564 |
Provider Name | Mareena Roufail |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457963910 PECOS PAC ID: 2567882764 Enrollment ID: I20220727001279 |
Provider Name | Jeffrey Joseph Kong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730750985 PECOS PAC ID: 0749682615 Enrollment ID: I20220914001785 |
Provider Name | Kayle Rae Edwards |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194443440 PECOS PAC ID: 7810365962 Enrollment ID: I20221121001285 |
Provider Name | Sophia Lam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386363711 PECOS PAC ID: 5991173510 Enrollment ID: I20221201001223 |
Provider Name | Madison Sachs |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245959592 PECOS PAC ID: 5092184663 Enrollment ID: I20221205001052 |
Provider Name | Saya Hayashi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487378329 PECOS PAC ID: 8224407275 Enrollment ID: I20221213003008 |
Provider Name | Shayda Hossein Mardi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740904739 PECOS PAC ID: 3375912009 Enrollment ID: I20221219002647 |
Provider Name | Olivia Ryan Burger |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780305953 PECOS PAC ID: 4183093834 Enrollment ID: I20221220000630 |
Provider Name | Brian Douglas Steinmann |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598485948 PECOS PAC ID: 8527438076 Enrollment ID: I20221228001728 |
Provider Name | Kellie Miyeko Melton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427733229 PECOS PAC ID: 2961863964 Enrollment ID: I20230807000865 |
Provider Name | Betty Zhu Li |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497432801 PECOS PAC ID: 4486017977 Enrollment ID: I20230831000753 |
Provider Name | Ramie Ramneet Sahota |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407534456 PECOS PAC ID: 7113380528 Enrollment ID: I20230901001782 |
Provider Name | Samuel Alexander Mainieri |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841975943 PECOS PAC ID: 6608239934 Enrollment ID: I20230901003168 |
Provider Name | Molly Dixon King |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750745105 PECOS PAC ID: 5092084202 Enrollment ID: I20230920002228 |
Provider Name | Yung Fen Chen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215626056 PECOS PAC ID: 8729432984 Enrollment ID: I20230922000257 |
Provider Name | Cade Oost |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770260200 PECOS PAC ID: 9133573249 Enrollment ID: I20230922003095 |
Provider Name | Jeffrey Kamo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104503432 PECOS PAC ID: 1254786429 Enrollment ID: I20231006002867 |
Provider Name | Ruth Yetunde Shoge |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508876137 PECOS PAC ID: 5395745343 Enrollment ID: I20240312001178 |
Provider Name | Cristen Adams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013369511 PECOS PAC ID: 8224477542 Enrollment ID: I20240419001402 |
Mailing Address | Practice Location Address |
---|---|
U.c. Berkeley School Of Optometry 200 Minor Hall, Berkeley, CA 94720-0001 Ph: (510) 642-0945 | U.c. Berkeley School Of Optometry 230 Minor Hall, Berkeley, CA 94720-0001 Ph: (510) 642-0945 |
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 |