| Anna M Pennino Od Optometric Corp | |
|
8511 Pershing Dr, Playa Del Rey, CA 90293-8101 | |
| (310) 577-6401 | |
| (310) 577-6403 |
| Full Name | Anna M Pennino Od Optometric Corp |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8511 Pershing Dr, Playa Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356589741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9996T (California) | Primary |
| Provider Name | Ivy Lin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255325809 PECOS PAC ID: 1557360971 Enrollment ID: I20061213000277 |
| Provider Name | Anna Marie Pennino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962495408 PECOS PAC ID: 4880770312 Enrollment ID: I20090130000486 |
| Provider Name | Emilie Endow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427610443 PECOS PAC ID: 2860819794 Enrollment ID: I20200824002750 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna M Pennino Od Optometric Corp 8511 Pershing Dr, Playa Del Rey, CA 90293-8101 Ph: (310) 577-6401 | Anna M Pennino Od Optometric Corp 8511 Pershing Dr, Playa Del Rey, CA 90293-8101 Ph: (310) 577-6401 |
Dr. Anna M Pennino, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 8511 Pershing Dr, Playa Del Rey, CA 90293 Phone: 310-577-6401 Fax: 310-577-6403 |