| George Takeda, OD | |
|
210 S Grand Ave, Suite 106, Glendora, CA 91741-4205 | |
| (626) 335-0535 | |
| (626) 914-7664 |
| Full Name | George Takeda |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 210 S Grand Ave, Glendora, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730302548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT9927TPG (California) | Primary |
| Provider Name | Mark B Kislinger Md, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215089594 PECOS PAC ID: 4789745514 Enrollment ID: O20081211000301 |
| Mailing Address | Practice Location Address |
|---|---|
| George Takeda, OD 210 S Grand Ave, Suite 106, Glendora, CA 91741-4205 Ph: (626) 335-0535 | George Takeda, OD 210 S Grand Ave, Suite 106, Glendora, CA 91741-4205 Ph: (626) 335-0535 |
Dr. Alvin Kwan Yang Lo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 451 W Foothill Blvd, Glendora, CA 91741 Phone: 626-969-7859 Fax: 626-969-7849 | |
Dr. Randy R Burt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 852 S Grand Ave, Glendora, CA 91740 Phone: 626-914-4815 Fax: 626-914-0502 | |
Dr. Eric A Bettelheim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 601 W Arrow Hwy, Glendora, CA 91740 Phone: 626-914-2414 Fax: 626-335-2635 | |
Dr. David Donald Carlton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 410 S Glendora Ave Ste 110, Glendora, CA 91741 Phone: 626-335-4021 Fax: 626-335-9910 | |
Mary Cairnie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 150 S Grand Ave Ste J, Glendora, CA 91741 Phone: 626-335-2114 | |
Richard L Forgey Lori L Matsuno Partnership Optometrist Medicare: Medicare Enrolled Practice Location: 210 S Grand Ave, Suite 115, Glendora, CA 91741 Phone: 626-857-0234 Fax: 626-857-0857 | |
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1301 S Lone Hill Ave, Glendora, CA 91740 Phone: 909-305-4892 Fax: 909-971-0251 |