| Walnut Square Optometry | |
|
2118 Vine St, Suite E, Berkeley, CA 94709-1524 | |
| (510) 548-3947 | |
| (510) 548-3501 |
| Full Name | Walnut Square Optometry |
|---|---|
| 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 |
| Provider Name | Crizelda Lauron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033513742 PECOS PAC ID: 8729390513 Enrollment ID: I20150708000938 |
| Provider Name | Tara Pahlevan-chaleshtari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932654043 PECOS PAC ID: 5294021143 Enrollment ID: I20160901001836 |
| Provider Name | Jennifer Juang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487036661 PECOS PAC ID: 3274821574 Enrollment ID: I20161019000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Square Optometry 2118 Vine St, Suite E, Berkeley, CA 94709-1524 Ph: (510) 548-3947 | Walnut Square Optometry 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 |