| A Center For Visioncare Surgical & Medical Group | |
|
2031 W Alameda Ave Ste 300, Burbank, CA 91506-2960 | |
| (818) 762-0647 | |
| (818) 762-7834 |
| Full Name | A Center For Visioncare Surgical & Medical Group |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2031 W Alameda Ave Ste 300, Burbank, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912058728 | NPI | - | NPPES |
| ZZZ39782Z | Other | CA | BLUE SHIELD |
| GR0059240 | Medicaid | CA | |
| GSD001470 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Joseph K Davidson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467487926 PECOS PAC ID: 3971495177 Enrollment ID: I20040326000238 |
| Provider Name | Khaled A Tawansy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902916711 PECOS PAC ID: 5698795664 Enrollment ID: I20051206000327 |
| Provider Name | Cynthia A Boxrud |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902950405 PECOS PAC ID: 9133203987 Enrollment ID: I20080303000762 |
| Provider Name | Mario A Meallet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851510424 PECOS PAC ID: 6901985480 Enrollment ID: I20080508000673 |
| Provider Name | Dana P Tannenbaum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528080694 PECOS PAC ID: 7810028297 Enrollment ID: I20100629000300 |
| Provider Name | Alan I Mandelberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659422582 PECOS PAC ID: 8628158987 Enrollment ID: I20100629000928 |
| Provider Name | Lynn L Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689808438 PECOS PAC ID: 1850561119 Enrollment ID: I20120705000094 |
| Provider Name | Negin Nikahd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093154932 PECOS PAC ID: 8820210214 Enrollment ID: I20141120000439 |
| Provider Name | Sophia Clarissa Liem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881118321 PECOS PAC ID: 8325307994 Enrollment ID: I20180108000435 |
| Provider Name | Justin Nathaniel Karlin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427476464 PECOS PAC ID: 8527380831 Enrollment ID: I20180605002316 |
| Provider Name | Stavros Nickolas Moysidis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780023929 PECOS PAC ID: 7012294762 Enrollment ID: I20190909003210 |
| Provider Name | Daniel Lemor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275950115 PECOS PAC ID: 1254550684 Enrollment ID: I20191022001884 |
| Provider Name | Linden R Doss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376990424 PECOS PAC ID: 6709208135 Enrollment ID: I20200612000283 |
| Mailing Address | Practice Location Address |
|---|---|
| A Center For Visioncare Surgical & Medical Group 4418 Vineland Ave, 106, North Hollywood, CA 91602-3457 Ph: (818) 762-0647 | A Center For Visioncare Surgical & Medical Group 2031 W Alameda Ave Ste 300, Burbank, CA 91506-2960 Ph: (818) 762-0647 |