| Lakeside Optometry, Pc | |
|
3461 Brookside Rd Ste A-1, Stockton, CA 95219-1741 | |
| (209) 451-4305 | |
| (209) 622-4283 |
| Full Name | Lakeside Optometry, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3461 Brookside Rd Ste A-1, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700338779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11714T (California) | Primary |
| 152W00000X | Optometrist | OPT 12656 TPL (California) | Secondary |
| Provider Name | Chinh T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306921986 PECOS PAC ID: 2860494895 Enrollment ID: I20070205000357 |
| Provider Name | Orathay Thongsamouth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639273071 PECOS PAC ID: 1951405232 Enrollment ID: I20070326000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Optometry, Pc 3461 Brookside Rd Ste A-1, Stockton, CA 95219-1741 Ph: (209) 451-4305 | Lakeside Optometry, Pc 3461 Brookside Rd Ste A-1, Stockton, CA 95219-1741 Ph: (209) 451-4305 |
Dr. William Dale Whitted, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1036 W Robinhood Dr, Suite 105, Stockton, CA 95207 Phone: 209-951-3693 Fax: 209-951-4711 | |
Richard Vanover Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 3133 W March Ln Ste 2020, Stockton, CA 95219 Phone: 209-951-0820 Fax: 209-951-2348 | |
Eyecheck Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7743 West Ln, Suite A2, Stockton, CA 95210 Phone: 209-636-4914 Fax: 209-208-1819 | |
Timothy Ng, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1101 E March Ln # 0, Stockton, CA 95210 Phone: 209-957-8000 Fax: 209-957-8077 | |
Dr. David Krejchi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4950 Pacific Ave, Stockton, CA 95207 Phone: 209-477-4114 | |
Vikram Girn, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2571 Blossom Cir, Stockton, CA 95212 Phone: 209-298-6169 | |
Jennifer Pham, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1899 W March Ln, Stockton, CA 95207 Phone: 209-623-4700 |