| Eyecare Specialists Medical Group, Inc | |
|
947 S. Anaheim Blvd, Suite 120, Anaheim, CA 92805-5590 | |
| (714) 821-4666 | |
| (714) 533-6800 |
| Full Name | Eyecare Specialists Medical Group, Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 947 S. Anaheim Blvd, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437181930 | NPI | - | NPPES |
| W14969E | Other | CA | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Dwayne K Logan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164520714 PECOS PAC ID: 9436119419 Enrollment ID: I20041110000495 |
| Provider Name | Eugene Yu-chin Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265432991 PECOS PAC ID: 3375514383 Enrollment ID: I20070215000642 |
| Provider Name | David M Choi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912981598 PECOS PAC ID: 2062519861 Enrollment ID: I20070511000487 |
| Provider Name | Anthony A Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073611885 PECOS PAC ID: 8729186150 Enrollment ID: I20070608000500 |
| Provider Name | Richard Casey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609890797 PECOS PAC ID: 6901709310 Enrollment ID: I20110105000017 |
| Provider Name | Claudia Montana-collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669558557 PECOS PAC ID: 1052575834 Enrollment ID: I20120606000586 |
| Provider Name | Janet K Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336374123 PECOS PAC ID: 7719128123 Enrollment ID: I20130729000125 |
| Provider Name | Mimi A Phan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598187924 PECOS PAC ID: 8325264864 Enrollment ID: I20140718001760 |
| Provider Name | Anne Grattan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972945913 PECOS PAC ID: 9537389903 Enrollment ID: I20141007000910 |
| Provider Name | Meggie N Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649552548 PECOS PAC ID: 9436467792 Enrollment ID: I20180411000509 |
| Provider Name | Huong Hoai Dang Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750894630 PECOS PAC ID: 8921351024 Enrollment ID: I20181018002373 |
| Provider Name | Paymohn Mahdavi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295095669 PECOS PAC ID: 9234401043 Enrollment ID: I20190805001886 |
| Provider Name | Myles I Brookman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063874139 PECOS PAC ID: 5092135533 Enrollment ID: I20201021002326 |
| Provider Name | Sharon Weiya Lei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407524119 PECOS PAC ID: 7113324070 Enrollment ID: I20210921001147 |
| Provider Name | Samira Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679736672 PECOS PAC ID: 6103095401 Enrollment ID: I20211020002764 |
| Provider Name | Nhung Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932760964 PECOS PAC ID: 3375954308 Enrollment ID: I20230214003038 |
| Provider Name | Eriq Paul Plechot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902549173 PECOS PAC ID: 9830558105 Enrollment ID: I20230705001018 |
| Provider Name | Brett Tompkins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033533195 PECOS PAC ID: 6406149079 Enrollment ID: I20230814000981 |
| Provider Name | Sharon Han |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497403778 PECOS PAC ID: 6204299589 Enrollment ID: I20230905001299 |
| Provider Name | Ledia Yousef Milad Samwil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043084007 PECOS PAC ID: 0244673275 Enrollment ID: I20240207001229 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Specialists Medical Group, Inc 888 S. Disneyland Drive, Suite 100, Anaheim, CA 92802-1828 Ph: (714) 399-0678 | Eyecare Specialists Medical Group, Inc 947 S. Anaheim Blvd, Suite 120, Anaheim, CA 92805-5590 Ph: (714) 821-4666 |