| Dr Phong Quoc Nguyen, OD | |
|
2402 S Azusa Ave, West Covina, CA 91792-1512 | |
| (626) 810-4535 | |
| (626) 810-7371 |
| Full Name | Dr Phong Quoc Nguyen |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2402 S Azusa Ave, West Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710972195 | NPI | - | NPPES |
| 6268104535 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| P041517 | Other | CA | SPECTERA |
| 204344 | Other | CA | EYEMED |
| 261324273 | Other | SUPERIOR VISION | |
| 261324273 | Other | CA | MARCH VISION |
| SD0119320 | Medicaid | CA | |
| 202830204 | Other | CA | NVA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11932T (California) | Primary |
| Provider Name | Pacific Optometry Vision Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598923823 PECOS PAC ID: 3476601071 Enrollment ID: O20090509000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phong Quoc Nguyen, OD 2402 S Azusa Ave, West Covina, CA 91792-1512 Ph: (626) 810-4535 | Dr Phong Quoc Nguyen, OD 2402 S Azusa Ave, West Covina, CA 91792-1512 Ph: (626) 810-4535 |
Dr. Vincent Hsu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 236 S Citrus St, West Covina, CA 91791 Phone: 626-935-8886 | |
Sharon Huang, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1111 Plaza Dr, West Covina, CA 91790 Phone: 626-814-4681 | |
Dr. Roger L. Wu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2707 E Valley Blvd, Suite 216, West Covina, CA 91792 Phone: 626-810-3398 Fax: 626-810-3342 | |
Dr. Dana Linnea Rawlings, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lakes Dr Ste 180, West Covina, CA 91790 Phone: 626-919-4821 | |
Puente Hills Optometry Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2036 Plaza Dr, West Covina, CA 91790 Phone: 626-960-5537 | |
Supervision Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1200 S Sunset Ave, Suite #1, West Covina, CA 91790 Phone: 626-962-2839 Fax: 626-962-1819 | |
Dr. Dipak C Patel, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2036 Plaza Dr, West Covina, CA 91790 Phone: 626-960-5537 Fax: 626-960-5357 |