San Pedro Optometry | |
625 W 9th St San Pedro CA 90731-3107 | |
(310) 833-2495 | |
Not Available |
Full Name | San Pedro Optometry |
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Speciality | Clinic/Center |
Location | 625 W 9th St, San Pedro, California |
Authorized Official Name and Position | Jennifer Che (OPTOMETRIST/OWNDER) |
Authorized Official Contact | 7542291918 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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San Pedro Optometry 625 W 9th St San Pedro CA 90731-3107 Ph: (310) 833-2495 | San Pedro Optometry 625 W 9th St San Pedro CA 90731-3107 Ph: (310) 833-2495 |
NPI Number | 1609389139 |
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Provider Enumeration Date | 11/07/2017 |
Last Update Date | 10/03/2024 |
Medicare PECOS PAC ID | 5698039196 |
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Medicare Enrollment ID | O20180509002106 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609389139 | NPI | - | NPPES |
3494144 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jennifer Che |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013205905 PECOS PAC ID: 3072740646 Enrollment ID: I20131206000561 |
Ramin Alizadeh Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 W 25th St, San Pedro, CA 90732 Phone: 310-547-3034 Fax: 310-548-5242 | |
San Miguel Urgent Care San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W 7th St, San Pedro, CA 90731 Phone: 424-264-5630 | |
Mark Perez Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 W 6th St, 2nd Floor #7, San Pedro, CA 90732 Phone: 310-832-1126 Fax: 310-831-3000 | |
Jeremy Anuntiyo Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Ste 310, San Pedro, CA 90732 Phone: 562-529-7772 Fax: 562-529-5449 | |
Multicare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 S Pacific Ave, Suite #201, San Pedro, CA 90731 Phone: 424-570-6960 Fax: 424-570-6952 | |
Dr Mona Shah Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-0201 Fax: 310-547-3340 | |
Total Body Advanced Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 789 W 9th St, San Pedro, CA 90731 Phone: 310-519-1557 Fax: 310-519-0330 |