| Madonna Daniel, | |
|
555 N 13th Ave, Upland, CA 91786-4904 | |
| (909) 277-2420 | |
| Not Available |
| Full Name | Madonna Daniel |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 555 N 13th Ave, Upland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164183729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35350 (California) | Primary |
| Provider Name | Pacific Eye Institute A Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962422709 PECOS PAC ID: 7911966122 Enrollment ID: O20041004001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Madonna Daniel, 555 N 13th Ave, Upland, CA 91786-4904 Ph: (909) 277-2420 | Madonna Daniel, 555 N 13th Ave, Upland, CA 91786-4904 Ph: (909) 277-2420 |
Dr. Lethuy T Nguyen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 553 N Mountain Ave, Upland, CA 91786 Phone: 909-985-2876 Fax: 909-946-8585 | |
Rainbow Optometry,inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1183 E Foothill Blvd # 140, Upland, CA 91786 Phone: 909-608-0601 Fax: 909-608-0610 | |
Danny Duy Vu, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1540 W Foothill Blvd, Upland, CA 91786 Phone: 909-981-7634 Fax: 909-985-7497 | |
Donald H Spaulding Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 944-a West Foothill Blvd, Upland, CA 91786 Phone: 909-982-3040 Fax: 909-982-9840 | |
Lucent Optometry Montclair Inc Optometrist Medicare: Medicare Enrolled Practice Location: 471 N Central Ave, Upland, CA 91786 Phone: 909-788-3433 Fax: 099-129-8096 | |
Jimmy K. So, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1261 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-982-9366 Fax: 909-982-2477 |