| Dr Mingjun Michael Wang, O D | |
|
10066 Pacific Heights Blvd, Suite 112, San Diego, CA 92121-4211 | |
| (858) 526-0890 | |
| (858) 526-0899 |
| Full Name | Dr Mingjun Michael Wang |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 10066 Pacific Heights Blvd, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770569386 | NPI | - | NPPES |
| PA09830 | Other | PA | VBA |
| 2159259830 | Other | PA | VSP |
| 2179183000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 42203 | Other | PA | DAVIS VISION |
| 20031 | Other | PR | SPECTERA |
| 397523 | Other | PA | NVA |
| WA1489384 | Other | PA | HIGH MARK BLUE SHIELD |
| 001973771 | Medicaid | PA | |
| 348399 | Other | PA | AETNA |
| 1489384 | Other | PA | PERSONAL CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000005 (Pennsylvania) | Primary |
| Provider Name | Michael Wang Od A Professional Optometric Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184002172 PECOS PAC ID: 8921310582 Enrollment ID: O20150717001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mingjun Michael Wang, O D 10066 Pacific Heights Blvd, Suite 112, San Diego, CA 92121-4211 Ph: (858) 526-0890 | Dr Mingjun Michael Wang, O D 10066 Pacific Heights Blvd, Suite 112, San Diego, CA 92121-4211 Ph: (858) 526-0890 |
Dr. Dora Doan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Optometry Department, San Diego, CA 92105 Phone: 619-961-0803 Fax: 619-269-1257 | |
Allen Chung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9460 Mira Mesa Blvd Ste A, San Diego, CA 92126 Phone: 858-566-1756 Fax: 858-566-1845 | |
Hoang Minh Ho, O.d, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4840 Shawline St, San Diego, CA 92111 Phone: 858-560-5742 | |
Loan Yen Huynh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5175 Waring Rd, San Diego, CA 92120 Phone: 619-583-1000 | |
Brenda J Swiderski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6945 El Cajon Blvd, San Diego, CA 92115 Phone: 619-697-4600 Fax: 619-464-5526 | |
Dr. Lori Johnson Bende, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4009 Governor Dr, San Diego, CA 92122 Phone: 858-453-0444 | |
Dr. Lisa M Galstian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7770 Regents Rd, Suite 104, San Diego, CA 92122 Phone: 858-546-1940 Fax: 858-546-0940 |