| Dr Queen Lucky Thach, OD | |
|
2907 Jamacha Rd Ste A, El Cajon, CA 92019-4342 | |
| (619) 660-0272 | |
| (619) 660-0310 |
| Full Name | Dr Queen Lucky Thach |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 9 Years |
| Location | 2907 Jamacha Rd Ste A, El Cajon, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053841478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV009101-01 (New York) | Secondary |
| 152W00000X | Optometrist | OPT33685-TLG (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centro De Salud De La Comunidad De San Ysidro, Inc. | 6901709435 | 292 |
| Total Vision Pc | 9234472242 | 113 |
| Provider Name | Southern Indian Health Council |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922090885 PECOS PAC ID: 9830221449 Enrollment ID: O20180202000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Queen Lucky Thach, OD 7419 Caminito Carlotta, San Diego, CA 92120-2216 Ph: () - | Dr Queen Lucky Thach, OD 2907 Jamacha Rd Ste A, El Cajon, CA 92019-4342 Ph: (619) 660-0272 |
Dr. Maria Theresa Gozun Alfonso, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 539 Parkway Plz, El Cajon, CA 92020 Phone: 619-441-0138 | |
Marilyn A Carter, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 510 S Magnolia Ave, El Cajon, CA 92020 Phone: 619-444-9012 Fax: 619-444-0232 | |
Trilogy Eye Medical Group, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 450 Fletcher Pkwy Ste 112, El Cajon, CA 92020 Phone: 619-440-5400 Fax: 619-440-0239 | |
Yelena Davydova, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 539 Parkway Plz, El Cajon, CA 92020 Phone: 619-441-0138 | |
Dr. Smit Ashok Patel, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1071 Broadway, El Cajon, CA 92021 Phone: 619-442-6686 Fax: 619-442-8023 | |
Douglas G Miller Md & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 W Madison Avenue, Suite 2, El Cajon, CA 92020 Phone: 619-442-3937 Fax: 619-441-0539 |