| Nicole Jae Sim Optometric, Inc | |
| 2118 Vine St, Suite E, Berkeley, CA 94709-1524 | |
| (510) 548-3947 | |
| (510) 548-3501 | 
| Full Name | Nicole Jae Sim Optometric, Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 2118 Vine St, Berkeley, California | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932439304 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 11438TPA (California) | Primary | 
| Provider Name | Nicole J Sim | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1861577744 PECOS PAC ID: 8426193640 Enrollment ID: I20100304000165 | 
| Provider Name | Angela Joy Cheung | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1346658184 PECOS PAC ID: 3779807995 Enrollment ID: I20150116002055 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicole Jae Sim Optometric, Inc 2118 Vine St, Suite E, Berkeley, CA 94709-1524 Ph: (510) 548-3947 | Nicole Jae Sim Optometric, Inc 2118 Vine St, Suite E, Berkeley, CA 94709-1524 Ph: (510) 548-3947 | 
| Dr. Carl H. Jacobsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720 Phone: 510-643-9826 Fax: 510-642-4025 | |
| Nancy Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: University Of California School Of Optometry, 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-0945 | |
| Annie Chang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1931 Dwight Way, Apt 20, Berkeley, CA 94704 Phone: 310-619-1266 | |
| Dr. John Corzine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Minor Hall, University Of California, Berkeley, CA 94720 Phone: 510-643-2793 Fax: 510-643-5109 | |
| Dr. Ghazal Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Anne Tasaki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Daphne Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-642-0945 |