Dr Wesley Fong Tom, OD in Los Angeles, CA - Medicare Optometrist Provider

Dr Wesley Fong Tom, OD is a medicare enrolled "Optometrist" provider in Los Angeles, California. His current practice location is 942 N Broadway, Suite 104, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 680-9393.

Dr Wesley Fong Tom is licensed to practice in California (license number 9469T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134208358.

Contact Information

	Dr Wesley Fong Tom, OD
	942 N Broadway, Suite 104, Los Angeles, CA 90012-1707
	(213) 680-9393
	(213) 680-2921

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wesley Fong Tom
Gender	Male
Speciality	Optometrist
Location	942 N Broadway, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134208358
Provider Enumeration Date: 11/06/2006
Last Update Date: 09/01/2007

Medicare PECOS Information:

PECOS PAC ID: 4981852613
Enrollment ID: I20120920000802

Medical Identifiers

Medical identifiers for Dr Wesley Fong Tom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134208358	NPI	-	NPPES
SD0946900	Medicaid	CA
WY076	Other		MEDICARE LEGACY
X15393	Other		MEDICARE LEGACY
WOP9469A	Other		MEDICARE LEGACY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	9469T (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wesley Fong Tom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Wesley Fong Tom, OD 942 N Broadway, Suite 104, Los Angeles, CA 90012-1707 Ph: (213) 680-9393	Dr Wesley Fong Tom, OD 942 N Broadway, Suite 104, Los Angeles, CA 90012-1707 Ph: (213) 680-9393

Reviews and Comments

Optometrist in Los Angeles, CA

Roxana Gilda De La Rosa, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 1/2 S Vermont Ave, Los Angeles, CA 90004 Phone: 213-383-8036
Dr. Lernik Torossian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 835 W Jefferson Blvd Unit 7-d, Los Angeles, CA 90089 Phone: 323-442-6335
Optometric Eyesite Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10939 West Pico Blvd, Los Angeles, CA 90064 Phone: 310-899-0077
Vision To Learn Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025 Phone: 800-485-9196 Fax: 213-402-5261
Beverly Grove Vision Care Optometry, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 S Fairfax Ave, Los Angeles, CA 90036 Phone: 323-879-9259
Narda Sanchez, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 W. Sunset Blvd, Los Angeles, CA 90028 Phone: 323-462-2816
Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033

Dr Wesley Fong Tom, OD - Medicare Optometrist in Los Angeles, CA