| 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 | Optometrist |
| Location | 2907 Jamacha Rd Ste A, El Cajon, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Provider Name | Olivia K. Do, O.d., A Professional Optometric Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578957775 PECOS PAC ID: 5496067233 Enrollment ID: O20150707002955 |
| Provider Name | Total Vision Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356813711 PECOS PAC ID: 9234472242 Enrollment ID: O20190515000216 |
| 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 | |
Acuity Eye Specialists 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 |