| Eyecare Medical Corporation | |
|
5832 Beach Blvd Unit 109, Buena Park, CA 90621-5500 | |
| (714) 228-1888 | |
| (714) 676-8308 |
| Full Name | Eyecare Medical Corporation |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 5832 Beach Blvd Unit 109, Buena Park, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427016120 | NPI | - | NPPES |
| GR89010 | Medicaid | CA | |
| 00A604450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | A60445 (California) | Primary |
| Provider Name | Joseph Y Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558458364 PECOS PAC ID: 6406840776 Enrollment ID: I20040413001139 |
| Provider Name | Yun Jin Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255431300 PECOS PAC ID: 4880587385 Enrollment ID: I20040413001208 |
| Provider Name | Paul Alexan Blacharski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215034335 PECOS PAC ID: 1951292606 Enrollment ID: I20040616001517 |
| Provider Name | Irene I Yim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033257894 PECOS PAC ID: 0840212221 Enrollment ID: I20070821000200 |
| Provider Name | Rohit Varma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073670212 PECOS PAC ID: 8022165620 Enrollment ID: I20090420000138 |
| Provider Name | Jack Son Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679808356 PECOS PAC ID: 6608906516 Enrollment ID: I20100618000511 |
| Provider Name | John Jin Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508050220 PECOS PAC ID: 8123159548 Enrollment ID: I20100629000753 |
| Provider Name | Susan Shin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922190321 PECOS PAC ID: 6800083767 Enrollment ID: I20101206000359 |
| Provider Name | Sundeep Bhambhani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841504958 PECOS PAC ID: 5991978504 Enrollment ID: I20111026000857 |
| Provider Name | Lisa H Dang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083938096 PECOS PAC ID: 2264653690 Enrollment ID: I20190403001713 |
| Provider Name | Jing Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063167740 PECOS PAC ID: 4183003296 Enrollment ID: I20220621001415 |
| Provider Name | Erica Danielle Baranwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912389354 PECOS PAC ID: 4486180296 Enrollment ID: I20241203004651 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Medical Corporation Po Box 190, Buena Park, CA 90621-0190 Ph: (714) 228-1888 | Eyecare Medical Corporation 5832 Beach Blvd Unit 109, Buena Park, CA 90621-5500 Ph: (714) 228-1888 |