| Irin Pansawira, OD | |
|
4455 W 117th St Ste 105, Hawthorne, CA 90250-2240 | |
| (424) 456-6200 | |
| Not Available |
| Full Name | Irin Pansawira |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4455 W 117th St Ste 105, Hawthorne, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083097760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 15319 (California) | Primary |
| Provider Name | Clinica Sierra Vista |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861494338 PECOS PAC ID: 3870407505 Enrollment ID: O20031117000928 |
| Provider Name | St. John's Community Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
| Provider Name | Clinica Sierra Vista |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740439314 PECOS PAC ID: 3870407505 Enrollment ID: O20090304000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Irin Pansawira, OD 4455 W 117th St Ste 105, Hawthorne, CA 90250-2240 Ph: () - | Irin Pansawira, OD 4455 W 117th St Ste 105, Hawthorne, CA 90250-2240 Ph: (424) 456-6200 |
Dr James W Kelsey Optometrist, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13416 Hawthorne Blvd, B, Hawthorne, CA 90250 Phone: 310-978-3937 | |
Dr. Anne Cindy Lee, OD, FAAO Optometrist Medicare: Medicare Enrolled Practice Location: 13427 Inglewood Ave, Hawthorne, CA 90250 Phone: 310-676-2020 | |
Robert Koppany, Od, A Professional Corp. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4840 W 123rd St, Hawthorne, CA 90250 Phone: 310-679-5604 Fax: 310-644-6796 | |
Dr. James Walter Kelsey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13416 Hawthorne Blvd, Suite B, Hawthorne, CA 90250 Phone: 310-978-3937 Fax: 310-978-1895 | |
Dr. Diana Marie Risco, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14501 Hindry Ave, Hawthorne, CA 90250 Phone: 310-536-0327 Fax: 310-536-0328 | |
John E. Maanum, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13427 Inglewood Ave, Hawthorne, CA 90250 Phone: 310-676-2020 Fax: 310-676-2645 |