| Kenny Hoang, | |
|
9710 Winter Gardens Blvd Ste A, Lakeside, CA 92040-3866 | |
| (858) 357-1463 | |
| Not Available |
| Full Name | Kenny Hoang |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 9710 Winter Gardens Blvd Ste A, Lakeside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740868603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35207TLG (California) | Primary |
| Provider Name | North County Eye Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184797169 PECOS PAC ID: 0143274225 Enrollment ID: O20050310001091 |
| Provider Name | John C Fleming |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770355083 PECOS PAC ID: 0547435208 Enrollment ID: O20231208001138 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenny Hoang, 9710 Winter Gardens Blvd Ste A, Lakeside, CA 92040-3866 Ph: (619) 443-1075 | Kenny Hoang, 9710 Winter Gardens Blvd Ste A, Lakeside, CA 92040-3866 Ph: (858) 357-1463 |
Dr. Austin Tran, O.d., Optometric Corp. Optometrist Medicare: Medicare Enrolled Practice Location: 9710 Winter Gardens Blvd Ste Lakeside, Lakeside, CA 92040 Phone: 619-443-1075 | |
Austin Tran, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9710 Winter Gardens Blvd Ste A, Lakeside, CA 92040 Phone: 619-443-1075 Fax: 619-443-9382 |