| Alexander Song, OD | |
| 
					2653 Gateway Rd Ste 101, Carlsbad, CA 92009-1758  | |
| (760) 476-1921 | |
| Not Available | 
| Full Name | Alexander Song | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 2653 Gateway Rd Ste 101, Carlsbad, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770276750 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 35435 (California) | Primary | 
| Provider Name | Fourth Optometric Care Of California | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1497499974 PECOS PAC ID: 6305210345 Enrollment ID: O20230315000196  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alexander Song, OD 10692 Caminito Duro, San Diego, CA 92126-2803 Ph: (858) 880-5332  | Alexander Song, OD 2653 Gateway Rd Ste 101, Carlsbad, CA 92009-1758 Ph: (760) 476-1921  | 
Dr. Cecilia Kavanagh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 951 Palomar Airport Rd, Carlsbad, CA 92011 Phone: 760-603-9558 Fax: 760-603-9533  | |
Mashiana Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1923 Calle Barcelona Ste 139b, Carlsbad, CA 92009 Phone: 510-935-8540  | |
Connie Nguyen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1822 Marron Rd, North County Plaza #100, Carlsbad, CA 92008 Phone: 760-434-7620 Fax: 760-434-3069  | |
David W. Stemley, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2540 El Camino Real Ste B, Carlsbad, CA 92008 Phone: 760-729-9353 Fax: 760-729-0583  | |
Dr. Joseph Koltun, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7171 Sitio Caballero, Carlsbad, CA 92009 Phone: 760-448-6466  | |
Ms. Carol S Evans, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4006 Layang Layang Cir, Carlsbad, CA 92008 Phone: 760-720-3734 Fax: 760-729-3295  | |
Daniel And Davis Optometry, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3144 El Camino Real, Suite 202, Carlsbad, CA 92008 Phone: 760-434-3314 Fax: 760-434-5624  |