| Gaganjot K Sidhu, OD | |
|
1230 Summer Ln, San Pablo, CA 94806-2090 | |
| (510) 374-0695 | |
| Not Available |
| Full Name | Gaganjot K Sidhu |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1230 Summer Ln, San Pablo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578265468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD.61599163 (Washington) | Secondary |
| 152W00000X | Optometrist | OPT35555-TLG (California) | Primary |
| Provider Name | Park L Hsieh O D A Professional Optometric Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487864815 PECOS PAC ID: 3173607108 Enrollment ID: O20080228000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Gaganjot K Sidhu, OD 1230 Summer Ln, San Pablo, CA 94806-2090 Ph: (510) 374-0695 | Gaganjot K Sidhu, OD 1230 Summer Ln, San Pablo, CA 94806-2090 Ph: (510) 374-0695 |
San Pablo Optometric Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14240 San Pablo Ave, San Pablo, CA 94806 Phone: 510-232-3060 Fax: 510-232-0377 | |
David W. Tam Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13741 San Pablo Ave, San Pablo, CA 94806 Phone: 510-233-2875 Fax: 510-233-2875 | |
Juan Pablo Anaya, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14240 San Pablo Ave, San Pablo, CA 94806 Phone: 510-232-3060 Fax: 510-232-0377 |