| Dr John S Shan, OD | |
|
16111 Plummer St, Bldg. 200 Eye Care Clinic, North Hills, CA 91343-2036 | |
| (818) 891-7711 | |
| Not Available |
| Full Name | Dr John S Shan |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 16111 Plummer St, North Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184823221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 13317 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John S Shan, OD 12060 Hoffman St, Studio City, CA 91604-4713 Ph: (510) 847-4627 | Dr John S Shan, OD 16111 Plummer St, Bldg. 200 Eye Care Clinic, North Hills, CA 91343-2036 Ph: (818) 891-7711 |
Ashley Eunji Jun, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 213-841-9577 | |
Josephine Leung, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 | |
Paula Megumi Matsuno, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 | |
Christina Yuxin Tian, Optometrist Medicare: Medicare Enrolled Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 | |
Billy Wang, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 | |
Tyler Tran, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 |