| South County Eye Care Optometric Group | |
|
23002 Lake Center Dr, Lake Forest, CA 92630-6801 | |
| (949) 454-1064 | |
| (949) 454-4111 |
| Full Name | South County Eye Care Optometric Group |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 23002 Lake Center Dr, Lake Forest, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376748368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT12615T (California) | Primary |
| 152W00000X | Optometrist | OPT12669T (California) | Secondary |
| Provider Name | Karen T Wakayama |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295775047 PECOS PAC ID: 7214928787 Enrollment ID: I20040521001385 |
| Provider Name | Mary L Demoss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912958539 PECOS PAC ID: 9739117458 Enrollment ID: I20050802001396 |
| Provider Name | Justin B Michaels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174576904 PECOS PAC ID: 5890700397 Enrollment ID: I20071129000700 |
| Provider Name | Josephine T Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053366310 PECOS PAC ID: 6800802216 Enrollment ID: I20071129000705 |
| Mailing Address | Practice Location Address |
|---|---|
| South County Eye Care Optometric Group 23002 Lake Center Dr, Lake Forest, CA 92630-6801 Ph: (949) 454-1064 | South County Eye Care Optometric Group 23002 Lake Center Dr, Lake Forest, CA 92630-6801 Ph: (949) 454-1064 |
Charles E Dominguez, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 21098 Bake Pkwy, Suite 110, Lake Forest, CA 92630 Phone: 949-597-0104 | |
Dr. Mary Melinda Wells, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23591 El Toro Road, Ste 145, Lake Forest, CA 92630 Phone: 949-859-3180 Fax: 949-859-6317 | |
Dr. Omid Khodai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23 Bellflower, Lake Forest, CA 92630 Phone: 949-735-4727 | |
Lake Forest Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 23600 Rockfield Blvd, Suite 3f, Lake Forest, CA 92630 Phone: 949-206-1560 Fax: 949-206-1655 | |
Dr. Andrew Sendzik, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 22681 Lake Forest Dr, #a2, Lake Forest, CA 92630 Phone: 949-837-2121 | |
Justin B Michaels, O.D Optometrist Medicare: May Accept Medicare Assignments Practice Location: 23002 Lake Center Dr, Lake Forest, CA 92630 Phone: 949-454-1064 Fax: 949-454-4111 | |
Michaels And Vu Op Apc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23002 Lake Center Dr, Lake Forest, CA 92630 Phone: 949-454-1064 Fax: 949-454-4111 |