| Nancy Park Od, Inc | |
|
1275 Airport Park Blvd, Ukiah, CA 95482-7400 | |
| (707) 313-8019 | |
| Not Available |
| Full Name | Nancy Park Od, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1275 Airport Park Blvd, Ukiah, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275319485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Nancy P Wu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821067505 PECOS PAC ID: 4789657115 Enrollment ID: I20040814000241 |
| Provider Name | Jon E Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356330278 PECOS PAC ID: 6800850595 Enrollment ID: I20041112000614 |
| Provider Name | Jan Tung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184979072 PECOS PAC ID: 5597912238 Enrollment ID: I20120830000759 |
| Provider Name | Lavender R Orr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578813598 PECOS PAC ID: 6103041777 Enrollment ID: I20140716000210 |
| Provider Name | Ailleen Jacob |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871143883 PECOS PAC ID: 3779916630 Enrollment ID: I20191206000603 |
| Provider Name | Tu-anh Tran Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831704147 PECOS PAC ID: 1658787825 Enrollment ID: I20210312001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Park Od, Inc 22735 Sparrowdell Dr, Calabasas, CA 91302-1818 Ph: (310) 430-0586 | Nancy Park Od, Inc 1275 Airport Park Blvd, Ukiah, CA 95482-7400 Ph: (707) 313-8019 |
Lori Schafer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 248 Hospital Dr Ste B, Ukiah, CA 95482 Phone: 707-462-2924 | |
Griffith Sayles, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1275 Airport Park Blvd, Ukiah, CA 95482 Phone: 206-370-1016 | |
Gilbreath & Park Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Scott St, Ukiah, CA 95482 Phone: 707-462-7040 | |
Dr. Joe A. Vargas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 789 S Dora St, Ukiah, CA 95482 Phone: 707-462-8363 Fax: 707-462-8366 | |
Dr. Dale R. Spencer, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 704 N State St, Ukiah, CA 95482 Phone: 707-462-2602 | |
Griffith Sayles Od, Optometry Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1275 Airport Park Blvd., Ukiah, CA 95482 Phone: 206-370-1016 |