| Tan D. Vu Od, Inc | |
|
34859 Fredrick Street, Suite 109, Wildomar, CA 92595-2595 | |
| (951) 678-7690 | |
| (951) 837-4816 |
| Full Name | Tan D. Vu Od, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 34859 Fredrick Street, Wildomar, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245457852 | NPI | - | NPPES |
| SD0126700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 12670T (California) | Primary |
| Provider Name | Tan D Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780638726 PECOS PAC ID: 6103843925 Enrollment ID: I20051031000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Tan D. Vu Od, Inc 34859 Fredrick Street, Suite 109, Wildomar, CA 92595-2595 Ph: (951) 678-7690 | Tan D. Vu Od, Inc 34859 Fredrick Street, Suite 109, Wildomar, CA 92595-2595 Ph: (951) 678-7690 |
Mark A. Jury Optometric Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 23905 Clinton Keith Road, Suite 115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 951-304-9734 | |
Mark A Jury, Od A Optometric Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23905 Clinton Keith Rd, Ste #115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 866-741-5945 | |
Mark Alan Jury, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23905 Clinton Keith Rd, Suite115, Wildomar, CA 92595 Phone: 951-304-9733 | |
Dr. Brian Lemoyne Parker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23905 Clinton Keith Rd, Ste 115, Wildomar, CA 92595 Phone: 951-304-9733 Fax: 866-741-5945 | |
Bear Creek Eye Care Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 36330 Hidden Springs Rd Ste A, Wildomar, CA 92595 Phone: 951-609-9099 | |
Dr Emelline Chen Od Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 36330 Hidden Springs Rd Ste A, Wildomar, CA 92595 Phone: 909-632-8416 |