| Brandon Luu Od, Inc. | |
|
810 N Avalon Blvd, Wilmington, CA 90744-4502 | |
| (310) 834-5464 | |
| (714) 229-1994 |
| Full Name | Brandon Luu Od, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 810 N Avalon Blvd, Wilmington, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437888427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Noemi D Larragoiti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982614038 PECOS PAC ID: 2961583851 Enrollment ID: I20080116000853 |
| Provider Name | Brandon C Luu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609361153 PECOS PAC ID: 1951658673 Enrollment ID: I20180725003421 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Luu Od, Inc. 12777 Valley View St Ste 111, Garden Grove, CA 92845-2521 Ph: (714) 767-4665 | Brandon Luu Od, Inc. 810 N Avalon Blvd, Wilmington, CA 90744-4502 Ph: (310) 834-5464 |
Dr. Terrry Khraishi Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744 Phone: 424-264-5821 Fax: 424-264-5821 | |
Richard M Peters Od An Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-834-5464 Fax: 310-835-6665 | |
Dr. Tariq Tahir Khraishi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744 Phone: 424-264-5821 Fax: 424-264-5886 | |
Dr. Richard M Peters, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 810 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-834-5464 Fax: 310-835-6665 |