| Imperial Beach Optometry | |
|
894 Palm Ave, Ste B, Imperial Beach, CA 91932-1572 | |
| (619) 424-9333 | |
| (619) 424-3356 |
| Full Name | Imperial Beach Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 894 Palm Ave, Imperial Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568864080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6681TPG (California) | Primary |
| Provider Name | Helfon Hanono |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619942034 PECOS PAC ID: 8527098110 Enrollment ID: I20100318000321 |
| Provider Name | Abraham Hanono |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356754741 PECOS PAC ID: 3173747771 Enrollment ID: I20140623001880 |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Beach Optometry 10663 Amberglades Ln, San Diego, CA 92130-4841 Ph: (619) 424-9333 | Imperial Beach Optometry 894 Palm Ave, Ste B, Imperial Beach, CA 91932-1572 Ph: (619) 424-9333 |
Dr. Audrey Lee Weiss, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 894 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-9333 Fax: 619-424-3356 | |
Dr. Abraham Hanono, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 894 Palm Ave, Suite B, Imperial Beach, CA 91932 Phone: 619-424-9333 | |
Dr. Helfon Hanono, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 894 Palm Ave, Ste. B, Imperial Beach, CA 91932 Phone: 619-424-9333 | |
Dr. Bonnie Lynne Spector, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 894 Palm Ave Ste B, Imperial Beach, CA 91932 Phone: 619-424-9333 |