| Park L Hsieh O D A Professional Optometric Corporation | |
|
2704 Pinole Valley Rd, Pinole, CA 94564-1425 | |
| (510) 222-6567 | |
| (510) 222-2161 |
| Full Name | Park L Hsieh O D A Professional Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2704 Pinole Valley Rd, Pinole, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487864815 | NPI | - | NPPES |
| DP0855 | Other | CA | MEDICARE RAILROAD |
| 4475038 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 12680 T (California) | Primary |
| Provider Name | Park Lee Hsieh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730239559 PECOS PAC ID: 8729044581 Enrollment ID: I20051031001023 |
| Provider Name | Gaganjot K Sidhu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578265468 PECOS PAC ID: 2062875818 Enrollment ID: I20230828002438 |
| Mailing Address | Practice Location Address |
|---|---|
| Park L Hsieh O D A Professional Optometric Corporation 2704 Pinole Valley Rd, Pinole, CA 94564-1425 Ph: (510) 222-6567 | Park L Hsieh O D A Professional Optometric Corporation 2704 Pinole Valley Rd, Pinole, CA 94564-1425 Ph: (510) 222-6567 |
Nazak Mozaffarieh O D Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1773 San Pablo Ave Ste A1, Pinole, CA 94564 Phone: 510-222-3020 Fax: 510-222-9020 | |
First Optometric Care Of Northern California Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2704 Pinole Valley Rd, Pinole, CA 94564 Phone: 510-369-0092 Fax: 510-222-2161 | |
Young Choi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1420 Tara Hills Dr Ste D, Pinole, CA 94564 Phone: 510-724-1768 | |
David Walter Tam, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1660 San Pablo Ave, Ste 200, Pinole, CA 94564 Phone: 510-964-7816 Fax: 510-964-7831 | |
Emily Choh, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1420 Tara Hills Dr, Pinole, CA 94564 Phone: 510-724-1768 | |
Gloria E. Waite, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1773 San Pablo Ave., #a1, Pinole, CA 94564 Phone: 510-724-6520 Fax: 510-724-7094 | |
Ezah Cheema, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2704 Pinole Valley Rd, Pinole, CA 94564 Phone: 510-222-6567 Fax: 510-222-2161 |