Dr Ethan S Diep, OD in Chula Vista, CA - Medicare Optometry Provider

Dr Ethan S Diep, OD is a medicare enrolled "Optometrist" provider in Chula Vista, California. He went to Southern California College Of Optometry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 878 Eastlake Pkwy Ste 1011, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 216-4582.

Dr Ethan S Diep is licensed to practice in California (license number 14173) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639467467.

Contact Information

	Dr Ethan S Diep, OD
	878 Eastlake Pkwy Ste 1011, Chula Vista, CA 91914-4546
	(619) 216-4582
	(619) 216-4589

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ethan S Diep
Gender	Male
Speciality	Optometry
Experience	13 Years
Location	878 Eastlake Pkwy Ste 1011, Chula Vista, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ethan S Diep attended and graduated from Southern California College Of Optometry in 2011

NPI Data:

NPI Number: 1639467467
Provider Enumeration Date: 07/14/2011
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 1557638210
Enrollment ID: I20170530002673

Medical Identifiers

Medical identifiers for Dr Ethan S Diep such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639467467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	14173 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ethan S Diep allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ethan S Diep is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ethan S Diep, OD 878 Eastlake Pkwy Ste 1011, Chula Vista, CA 91914-4546 Ph: (619) 216-4582	Dr Ethan S Diep, OD 878 Eastlake Pkwy Ste 1011, Chula Vista, CA 91914-4546 Ph: (619) 216-4582

Reviews and Comments

Optometrist in Chula Vista, CA

Rancho Del Rey Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 895 E H St, Chula Vista, CA 91910 Phone: 619-397-7955 Fax: 619-397-7956
Chula Vista Family Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 330 Oxford St, Suite 214, Chula Vista, CA 91911 Phone: 619-420-3010
Justin Tuan-anh Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 890 Eastlake Pkwy Ste 102, Chula Vista, CA 91914 Phone: 619-216-3937
Robert H Meisel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 E Naples Ct, Chula Vista, CA 91911 Phone: 619-205-1471 Fax: 619-205-1906
Clear Vision Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 440 4th Ave, Chula Vista, CA 91910 Phone: 619-427-2020 Fax: 866-254-5707
Dr. Minna Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 835 3rd Ave, Suite B, Chula Vista, CA 91911 Phone: 619-476-6032
Dr. Lenore Caroline Hummelman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 330 Oxford St Ste 214, Chula Vista, CA 91911 Phone: 619-420-3010 Fax: 619-420-4123

Dr Ethan S Diep, OD - Medicare Optometrist in Chula Vista, CA