| Tracey H Nguyen Od - Professional Optometric Corporation | |
|
1401 Washington St, Kingsburg, CA 93631-1946 | |
| (559) 897-1071 | |
| Not Available |
| Full Name | Tracey H Nguyen Od - Professional Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1401 Washington St, Kingsburg, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699264655 | NPI | - | NPPES |
| 0697441 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Tracey H Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467882480 PECOS PAC ID: 1951602580 Enrollment ID: I20151223001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey H Nguyen Od - Professional Optometric Corporation 1041 Washington Street, Kingsburg, CA 93631-3813 Ph: (559) 897-1071 | Tracey H Nguyen Od - Professional Optometric Corporation 1401 Washington St, Kingsburg, CA 93631-1946 Ph: (559) 897-1071 |
Dr. Kimberly Perez-gutierrez, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 121 W Sierra Street, Kingsburg, CA 93631 Phone: 559-326-5320 | |
Evan Kiyoshi Yamashita, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1621 Lewis St, Kingsburg, CA 93631 Phone: 559-897-8974 | |
Tracey Hongthuy Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1401 Washington St, Kingsburg, CA 93631 Phone: 559-897-1071 Fax: 559-897-4317 | |
Dailyn Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 121 Sierra Street, Kingsburg, CA 93631 Phone: 559-326-5320 | |
Dr. Paul Yamashita, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1611 Lewis St, Kingsburg, CA 93631 Phone: 559-897-2464 Fax: 559-897-7574 |