| Cloverdale Optometric Center | |
|
12672 Limonite Ave, Suite 3f, Corona, CA 92880-4201 | |
| (951) 582-9090 | |
| (951) 582-9991 |
| Full Name | Cloverdale Optometric Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12672 Limonite Ave, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174707707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11463T (California) | Primary |
| Provider Name | Susan Cheung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891840195 PECOS PAC ID: 1658397120 Enrollment ID: I20051026000125 |
| Provider Name | Thuy Hang Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033233945 PECOS PAC ID: 0941602825 Enrollment ID: I20210714003499 |
| Mailing Address | Practice Location Address |
|---|---|
| Cloverdale Optometric Center 12672 Limonite Ave, Suite 3f, Corona, CA 92880-4201 Ph: (951) 582-9090 | Cloverdale Optometric Center 12672 Limonite Ave, Suite 3f, Corona, CA 92880-4201 Ph: (951) 582-9090 |
Dr. Evelyn Lee, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2620 Tuscany St Ste 103, Corona, CA 92881 Phone: 951-372-9623 | |
Jonathan Chan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2615 Tuscany St, Corona, CA 92881 Phone: 951-268-3036 Fax: 951-735-2864 | |
Jenee Lee Od Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 480 N Mckinley St, Corona, CA 92879 Phone: 951-279-1987 Fax: 951-279-8355 | |
Dr. Gary Ray Bell, O.D., M.S. EDU Optometrist Medicare: Not Enrolled in Medicare Practice Location: 807 W Grand Blvd Ste A, Corona, CA 92882 Phone: 951-735-1002 Fax: 951-735-9150 | |
Tony C Lieu Optometric Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 3833 Bedford Canyon Rd, Ste #c-101, Corona, CA 92883 Phone: 951-898-6979 Fax: 888-818-4787 | |
Dr. Dena M. Mintz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Magnolia Ave Ste 113, Corona, CA 92879 Phone: 951-737-7820 Fax: 951-737-7844 |