| William K. Shiomi, O.d., Inc | |
|
20700 Avalon Blvd, Suite #343, Carson, CA 90746-3734 | |
| (310) 532-2622 | |
| (310) 532-6412 |
| Full Name | William K. Shiomi, O.d., Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 20700 Avalon Blvd, Carson, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477861755 | NPI | - | NPPES |
| SD0053350 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5335T (California) | Primary |
| Provider Name | William Ken Shiomi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720058811 PECOS PAC ID: 8921292772 Enrollment ID: I20101105000259 |
| Mailing Address | Practice Location Address |
|---|---|
| William K. Shiomi, O.d., Inc 20700 Avalon Blvd, Suite #343, Carson, CA 90746-3734 Ph: (310) 532-2622 | William K. Shiomi, O.d., Inc 20700 Avalon Blvd, Suite #343, Carson, CA 90746-3734 Ph: (310) 532-2622 |
Kristen Lee Od, A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 21739 Avalon Blvd, Carson, CA 90745 Phone: 310-513-6900 Fax: 310-513-1445 | |
Minh Tang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21739 S. Avalon Blvd, Carson, CA 90745 Phone: 310-513-6900 Fax: 310-513-1445 | |
Christine Jaein Hur, OD Optometrist Medicare: Medicare Enrolled Practice Location: 22015 Avalon Blvd, Carson, CA 90745 Phone: 310-830-7584 | |
Dr. Angelica G. Salamanca, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21739 Avalon Blvd, Carson, CA 90745 Phone: 310-513-6900 Fax: 310-513-1445 | |
Dr. Robert Reiner, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21739 S Avalon Blvd, Carson, CA 90745 Phone: 310-513-6900 Fax: 310-513-1445 | |
Dr. Jeffrey Thomas Overbey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 So. Bay Pavilion Mall, 20700 S. Avalon Blvd. #100, Carson, CA 90746 Phone: 310-327-0545 Fax: 310-327-0545 | |
Dr. Andrea Quimpo Magbanua, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 171 W 223rd St Apt 6, Carson, CA 90745 Phone: 310-592-9700 |