| Paul Kwon An Optometric Corporation | |
|
28505 Hesperian Blvd, Hayward, CA 94545-5008 | |
| (510) 732-6121 | |
| Not Available |
| Full Name | Paul Kwon An Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 28505 Hesperian Blvd, Hayward, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407383862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 14685TLG (California) | Primary |
| Provider Name | Soo Han Kwon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477994549 PECOS PAC ID: 3870834435 Enrollment ID: I20190409002907 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Kwon An Optometric Corporation 8438 Sheffield Rd, San Gabriel, CA 91775-1825 Ph: (818) 331-8601 | Paul Kwon An Optometric Corporation 28505 Hesperian Blvd, Hayward, CA 94545-5008 Ph: (510) 732-6121 |
Payal Bavishi, Optometrist Medicare: Medicare Enrolled Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 | |
Daniel Li-jen Wang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Southland Mall, Hayward, CA 94545 Phone: 510-887-2800 Fax: 510-887-2812 | |
Fremont Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 31119 Mission Blvd, Hayward, CA 94544 Phone: 510-471-1234 Fax: 510-471-7414 | |
Ximena Maria Daza, OD Optometrist Medicare: Medicare Enrolled Practice Location: 31119 Mission Blvd, Hayward, CA 94544 Phone: 510-471-1234 Fax: 510-471-7414 | |
Mujda Zhublawar, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 Fax: 510-581-7368 | |
Dr. Dat Bui, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 Fax: 510-581-7368 | |
Angela Jean Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 B St, Hayward, CA 94541 Phone: 510-581-1430 |