| Tram Le Od, Inc | |
|
801 Tioga Ave, Sand City, CA 93955-3050 | |
| (916) 616-5165 | |
| Not Available |
| Full Name | Tram Le Od, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 801 Tioga Ave, Sand City, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932787520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Tram Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780098962 PECOS PAC ID: 3476877135 Enrollment ID: I20150129000034 |
| Provider Name | Kevin Tom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043882830 PECOS PAC ID: 9830567577 Enrollment ID: I20221130000870 |
| Mailing Address | Practice Location Address |
|---|---|
| Tram Le Od, Inc 801 Tioga Ave, Sand City, CA 93955-3050 Ph: (916) 616-5165 | Tram Le Od, Inc 801 Tioga Ave, Sand City, CA 93955-3050 Ph: (916) 616-5165 |
Tram Quynhphan Le, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 801 Tioga Ave, Sand City, CA 93955 Phone: 831-899-4185 | |
Dr. Anita Gor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2040 California Ave. Target, Target Optical, Sand City, CA 93955 Phone: 831-392-1991 Fax: 831-393-9329 |