| Edward P. & Diane M. Hernandez | |
|
15330 Amar Rd Ste A, La Puente, CA 91744-2001 | |
| (626) 961-0432 | |
| (626) 333-7741 |
| Full Name | Edward P. & Diane M. Hernandez |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15330 Amar Rd Ste A, La Puente, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568671774 | NPI | - | NPPES |
| GSD004881 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 08489T (California) | Primary |
| Provider Name | Alma Fragoso Corona |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417000522 PECOS PAC ID: 3173514361 Enrollment ID: I20040518000887 |
| Provider Name | Edward Paul Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306995691 PECOS PAC ID: 8527137694 Enrollment ID: I20080514000891 |
| Provider Name | Diane M Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326108747 PECOS PAC ID: 2769552652 Enrollment ID: I20080604000283 |
| Provider Name | Joseph A Ibarra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235684879 PECOS PAC ID: 1052609609 Enrollment ID: I20161013001779 |
| Provider Name | Araceli G Ochoa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720441009 PECOS PAC ID: 4587936984 Enrollment ID: I20170819000212 |
| Provider Name | Marilyn Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376079020 PECOS PAC ID: 9234402488 Enrollment ID: I20170909000029 |
| Provider Name | Jill S Rodriguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821599358 PECOS PAC ID: 7315200391 Enrollment ID: I20180405000688 |
| Provider Name | Lourdes M Silva-said |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902454044 PECOS PAC ID: 3375875669 Enrollment ID: I20191106002428 |
| Provider Name | Salena Z Thong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548767759 PECOS PAC ID: 7416389937 Enrollment ID: I20191120003379 |
| Provider Name | Amanda M Mancilla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619567948 PECOS PAC ID: 5496160756 Enrollment ID: I20210218001193 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward P. & Diane M. Hernandez 15330 Amar Rd Ste A, La Puente, CA 91744-2001 Ph: (626) 961-0432 | Edward P. & Diane M. Hernandez 15330 Amar Rd Ste A, La Puente, CA 91744-2001 Ph: (626) 961-0432 |
Dr. Brian Rex Alcalde, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1641 N Hacienda Blvd, La Puente, CA 91744 Phone: 626-918-1407 Fax: 626-918-2069 | |
Dr. Grace Javier Dacanay, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15909 Main St, La Puente, CA 91744 Phone: 626-961-0876 Fax: 626-336-0142 | |
Dr. Daniel Marcos Beltran, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13959 Amar Rd, La Puente, CA 91746 Phone: 626-960-2736 Fax: 626-962-3227 | |
Dr. Andrew G Chong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1641 N Hacienda Blvd, La Puente, CA 91744 Phone: 626-918-1407 Fax: 626-918-2069 | |
Norman Chung, Optometrist Medicare: Medicare Enrolled Practice Location: 17800 Renault St, La Puente, CA 91744 Phone: 626-919-4333 | |
Joseph Andrew Ibarra, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15330 Amar Rd Ste A, La Puente, CA 91744 Phone: 626-961-0432 | |
Dr. Edward Paul Hernandez, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15330 Amar Rd Ste A, La Puente, CA 91744 Phone: 626-961-0432 Fax: 626-333-7741 |