Yen Sou, OD | |
12625 Frederick St Ste B10, Moreno Valley, CA 92553-5232 | |
(951) 571-2192 | |
Not Available |
Full Name | Yen Sou |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 12625 Frederick St Ste B10, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649823436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4472AT (Oregon) | Secondary |
152W00000X | Optometrist | 34732TLG (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Yen Sou, OD 12625 Frederick St Ste B10, Moreno Valley, CA 92553-5232 Ph: (951) 571-2192 | Yen Sou, OD 12625 Frederick St Ste B10, Moreno Valley, CA 92553-5232 Ph: (951) 571-2192 |
Dr. Michael Minh Ba Ly, D.O Optometrist Medicare: Not Enrolled in Medicare Practice Location: 22450 Town Cir, Moreno Valley, CA 92553 Phone: 951-653-1055 | |
Firstsight Vison Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12721 Moreno Beach Dr, Moreno Valley, CA 92555 Phone: 951-247-1341 Fax: 951-247-2950 | |
Dr. William Kent Dorrance, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 24250 Postal Ave, Moreno Valley, CA 92553 Phone: 951-242-2020 Fax: 951-488-0910 | |
Alexis Mendez, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 23000 Atlantic Cir, Moreno Valley, CA 92553 Phone: 951-924-1877 | |
Fy Eye Optometry Group Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27100 Eucalyptus, Moreno Valley, CA 92551 Phone: 951-247-2365 | |
Lynsie Chu, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 22500 Town Cir Ste 2108, Moreno Valley, CA 92553 Phone: 951-656-6470 | |
Dr. Patricia Wai, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12721 Moreno Beach Dr, Moreno Valley, CA 92555 Phone: 626-560-9922 |