| Melody Kim, OD | |
|
12737 Glenoaks Blvd Ste 3, Sylmar, CA 91342-4724 | |
| (818) 574-7350 | |
| Not Available |
| Full Name | Melody Kim |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 12 Years |
| Location | 12737 Glenoaks Blvd Ste 3, Sylmar, 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 |
|---|---|---|---|
| 1487082749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 14726TLG (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Provider Name | De La Pena Eye Clinic, A Medical Group, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306850250 PECOS PAC ID: 2961300116 Enrollment ID: O20031223000882 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Provider Name | First Choice Physician Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Kim, OD 3221 Rimhill Rd, La Crescenta, CA 91214-1220 Ph: (818) 658-3655 | Melody Kim, OD 12737 Glenoaks Blvd Ste 3, Sylmar, CA 91342-4724 Ph: (818) 574-7350 |
Talin Vivian Davidian, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12920 Foothill Blvd, Sylmar, CA 91342 Phone: 747-999-3879 | |
Dr. Leonard H. Forbes, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12737 Glenoaks Blvd Ste 3, Sylmar, CA 91342 Phone: 818-367-1015 | |
Dr. Rene Stevens, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12737 Glenoaks Blvd Ste 3, Sylmar, CA 91342 Phone: 818-367-1015 Fax: 818-367-3593 | |
Dr. Leonard H Forbes, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12737 Glenoaks Blvd, Suite 3, Sylmar, CA 91342 Phone: 818-367-1015 Fax: 818-367-3593 | |
Michelle Collins, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12737 Glenoaks Blvd Ste 3, Sylmar, CA 91342 Phone: 818-367-1015 | |
Craig W Hoeft Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12661 Glenoaks Blvd, Sylmar, CA 91342 Phone: 818-367-2171 Fax: 818-364-7197 |