Spectrum Eyecare Optometry Inc - Medicare Optometrist in San Dimas, CA

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Spectrum Eyecare Optometry Inc is a medicare enrolled "Optometrist" provider in San Dimas, California. Their current practice location is 425 W Bonita Ave, Suite 110b, San Dimas, California. You can reach out to their office (for appointments etc.) via phone at (909) 394-0462.

Spectrum Eyecare Optometry Inc is licensed to practice in California (license number 11528T) and it also participates in the medicare program. Spectrum Eyecare Optometry Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1801949573.

Contact Information

Spectrum Eyecare Optometry Inc
425 W Bonita Ave, Suite 110b,
San Dimas, CA 91773-2541
(909) 394-0462
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSpectrum Eyecare Optometry Inc
TypeFacility
SpecialityOptometrist
Location425 W Bonita Ave, San Dimas, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801949573
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 01/10/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5193821353
  • Enrollment ID: O20070503000592

Medical Identifiers

Medical identifiers for Spectrum Eyecare Optometry Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801949573NPI-NPPES
5892280001OtherCAPTAN
W20601OtherCAMEDICARE GROUP NUMBER
DF7961OtherCARAILROAD GROUP NUMBER
P00393465OtherCARAILROAD PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 11528T (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Spectrum Eyecare Optometry Inc acts as a billing entity for following providers:
Provider NameDiana Lynn Mcknight
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457310500
PECOS PAC ID: 9335110451
Enrollment ID: I20040806000509
Provider NameLorna Reyes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316098999
PECOS PAC ID: 7719956200
Enrollment ID: I20040930001053
Provider NameDavid A Swearingen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912964834
PECOS PAC ID: 8820023856
Enrollment ID: I20050928001231
Provider NamePahoua Xai Xa Vue
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477641934
PECOS PAC ID: 1052332145
Enrollment ID: I20051216000374
Provider NameSteve S Penn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942454749
PECOS PAC ID: 8022171446
Enrollment ID: I20090112000534
Provider NameJames W Cummins
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568595791
PECOS PAC ID: 4789731605
Enrollment ID: I20090413000092
Provider NameJennifer E Wademan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023274396
PECOS PAC ID: 7810040797
Enrollment ID: I20090727000183
Provider NameArian Fartash
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417263500
PECOS PAC ID: 7012199383
Enrollment ID: I20110308000308
Provider NameChiao-chiao Laura Chu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215240510
PECOS PAC ID: 9032395538
Enrollment ID: I20110518000258
Provider NameCassandra Thompson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225362908
PECOS PAC ID: 0648457168
Enrollment ID: I20110610000233
Provider NameLaila Mousavi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033405568
PECOS PAC ID: 5294990511
Enrollment ID: I20120711000268
Provider NameErica M Urrea
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386910552
PECOS PAC ID: 9739330176
Enrollment ID: I20121113000523
Provider NameMelissa Zhao
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013323047
PECOS PAC ID: 5597086777
Enrollment ID: I20150601001536
Provider NameJacquelyn Delos Santos Wang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215319496
PECOS PAC ID: 3274840574
Enrollment ID: I20150918002147
Provider NameSandra W Chen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518263862
PECOS PAC ID: 4789981168
Enrollment ID: I20160330001120
Provider NameErica Perlman-hensen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063865590
PECOS PAC ID: 7517251333
Enrollment ID: I20170615002624
Provider NameAshley Nakamura
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992251490
PECOS PAC ID: 7012286313
Enrollment ID: I20170629001701
Provider NameJulie T Lam
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730560889
PECOS PAC ID: 5698030963
Enrollment ID: I20180607002308
Provider NameVione Wong
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578184156
PECOS PAC ID: 5193149722
Enrollment ID: I20200715003266
Provider NameChristina Liu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326677881
PECOS PAC ID: 6507281144
Enrollment ID: I20200803002520
Provider NameAlyssa Valenzuela
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780302372
PECOS PAC ID: 5799161113
Enrollment ID: I20221007000763
Provider NameIrene Minjee Park
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699391631
PECOS PAC ID: 2163849977
Enrollment ID: I20221014002213
Provider NameMichelle J Alcala
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316659360
PECOS PAC ID: 9931574951
Enrollment ID: I20230405000725
Provider NameKellie-anne Chiemi Ishii-kim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710465372
PECOS PAC ID: 1153674577
Enrollment ID: I20230516003031
Provider NameStanley Plucinik
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124751417
PECOS PAC ID: 4284094558
Enrollment ID: I20230718002675
Provider NameViet Hoang Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861170573
PECOS PAC ID: 6103280532
Enrollment ID: I20230918003394

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Spectrum Eyecare Optometry Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Spectrum Eyecare Optometry Inc
425 W Bonita Ave, Suite 110b,
San Dimas, CA 91773-2541

Ph: (909) 394-0462		Spectrum Eyecare Optometry Inc
425 W Bonita Ave, Suite 110b,
San Dimas, CA 91773-2541

Ph: (909) 394-0462

Reviews and Comments


Optometrist in San Dimas, CA

Melissa Zhao, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 425 W Bonita Ave, San Dimas, CA 91773
Phone: 909-394-0462    
Dr. Abigayle Ancheta Gutierrez, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773
Phone: 909-599-1100    
Tedder Optometry Group, Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 939 W Arrow Hwy, San Dimas, CA 91773
Phone: 805-624-1255    
Suzan Burmayan, O.d., A Professional Corporation
Optometrist
Medicare: Medicare Enrolled
Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773
Phone: 909-599-1100    
Dr. Elizabeth M Tsay, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 425 W Bonita Ave Ste 110b, San Dimas, CA 91773
Phone: 909-394-0462    
Dr. Grant Andrew Paul,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 963 W Arrow Hwy, San Dimas, CA 91773
Phone: 909-592-5666    
Dr. Jennifer Tze-kei Chan, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773
Phone: 909-599-1100    

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