| Kelly Tang, | |
|
1024 Mission St Ste B, South Pasadena, CA 91030-3198 | |
| (626) 460-6022 | |
| Not Available |
| Full Name | Kelly Tang |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 4 Years |
| Location | 1024 Mission St Ste B, South Pasadena, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629700125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35160 (California) | Primary |
| 152W00000X | Optometrist | 046011635 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meredith A Barber Od Inc | 0244562023 | 2 |
| Provider Name | Meredith A Barber Od Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316480890 PECOS PAC ID: 0244562023 Enrollment ID: O20191028002572 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Tang, 1024 Mission St Ste B, South Pasadena, CA 91030-3198 Ph: () - | Kelly Tang, 1024 Mission St Ste B, South Pasadena, CA 91030-3198 Ph: (626) 460-6022 |
Dr. Jamila Shani Wallace, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 Fair Oaks Ave, South Pasadena, CA 91030 Phone: 626-441-0770 | |
Dr. Irene Nora Sang, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Frederick R. Harris, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1941 Huntington Dr, Suite F, South Pasadena, CA 91030 Phone: 626-799-2212 | |
Dr. Jaime Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1024 Mission St Ste B, South Pasadena, CA 91030 Phone: 626-460-6022 | |
Dr. Shelly Holcomb Lowe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 729 Mission St Ste 200, South Pasadena, CA 91030 Phone: 626-441-5300 Fax: 626-441-2880 | |
Justin Hu, O.d., Incorporated Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 Fair Oaks Ave, South Pasadena, CA 91030 Phone: 626-441-0770 | |
Dr. Hripsime Shirvanian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1024 Mission St, Suite B, South Pasadena, CA 91030 Phone: 626-460-6022 Fax: 626-460-6024 |