Gina C Shao, OD | |
2322 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3206 | |
(805) 557-1055 | |
Not Available |
Full Name | Gina C Shao |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2322 E Thousand Oaks Blvd, Thousand Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023113107 | NPI | - | NPPES |
SD0124410 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12441T (California) | Primary |
Provider Name | Valley Optometry Eyecare Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649400920 PECOS PAC ID: 3173678588 Enrollment ID: O20090909000453 |
Provider Name | El Portal Optometry Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215212626 PECOS PAC ID: 6305124223 Enrollment ID: O20161027002397 |
Mailing Address | Practice Location Address |
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Gina C Shao, OD 2322 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3206 Ph: () - | Gina C Shao, OD 2322 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3206 Ph: (805) 557-1055 |
Dr. Paul Alan Snyder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2125 E Thousand Oaks Blvd, Suite A, Thousand Oaks, CA 91362 Phone: 805-497-7373 | |
Lori Ashley Bailey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2125 E. Thousand Oaks Blvd, Thousand Oaks, CA 91362 Phone: 805-497-7373 | |
Dr. Rachel M Gannam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 155 E Wilbur Rd Ste 101, Thousand Oaks, CA 91360 Phone: 805-497-7840 Fax: 805-373-0577 | |
James B Mayer Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 N Rancho Rd Ste 1, Thousand Oaks, CA 91362 Phone: 805-495-3937 Fax: 805-373-9843 | |
Dr. Lisa Fontaine, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 145 W. Hillcrest Dr., Thousand Oaks, CA 91360 Phone: 805-496-9059 | |
Dr. Jason C Griffith, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 W Hillcrest Dr, Suite 112, Thousand Oaks, CA 91360 Phone: 805-497-6964 |