DR. PHUNG QUACH, OD INC. (NPI# 1043604051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043604051 |
| Entity Type | Organization |
| Organization Name | DR. PHUNG QUACH, OD INC. |
| Practice Address |
11421 Carson St Ste F Lakewood CA 90715-2500 |
| Practice Telephone | 5624021900 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | DR. PHUNG QUACH (OWNER) |
| Authorized Official Telephone | 5624021900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12643T | CA | Eye and Vision Services Providers |
| Street Address |
11421 CARSON ST STE F |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90715-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510674 | Katie Perez | Technician, Other | 11907 205 St, Lakewood, CA 90715 | 2016-03-16 |
| 1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
| 1356458020 | Ellen L Chen | Dentist | 20147 S Pioneer Blvd, Lakewood, CA 90715 | 2006-08-25 |
| 1407012958 | Suraiya Motala | Student in an Organized Health Care Education/Training Program | 20215 Village Green Dr, Lakewood, CA 90715-1010 | 2008-08-04 |
| 1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
| 1285766253 | Woosung Ahn, M.d., Inc | Internal Medicine | 20145 Pioneer Blvd, Lakewood, CA 90715-1051 | 2007-03-12 |
| 1396807806 | Woo Sung Ahn | Internal Medicine | 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-14 |
| 1881754489 | Candice Yee Chen | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-12 |
| 1972515195 | Younghae Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 20141 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-08-13 |
| 1114942711 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-07-13 |
| Find all providers in zip 90715 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1811515075 | Lindee Jo Lorig | Optometrist | 5216 Montair Ave, Lakewood, CA 90712-2749 | 2020-07-13 |
| 1013564228 | National Vision Inc | Optometrist | 98 Wadsworth Blvd Unit 118, Lakewood, CO 80226-1552 | 2019-08-22 |
| 1700439528 | Cody F. Jackson | Optometrist | 14500 W Colfax Ave Unit 524, Lakewood, CO 80401-3235 | 2019-07-21 |
| 1710548904 | Metrowest Eye Associates, P.C. | Optometrist | 8585 W 14th Ave Ste C, Lakewood, CO 80215-4860 | 2019-06-27 |
| 1770033466 | Joel Matoba | Optometrist | 200 Union Blvd Ste 415, Lakewood, CO 80228-1832 | 2016-10-06 |
| 1275985616 | Lauren Sowash | Optometrist | 355 S Wadsworth Blvd Unit D, Lakewood, CO 80226-3136 | 2016-07-11 |
| 1548610066 | Brett Igbinoba | Optometrist | 9101 Bridgeport Way Sw Ste C, Lakewood, WA 98499-2419 | 2016-06-15 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1881092617 | Medelite Group PC | Optometrist | 1 Sienna Way, Lakewood, NJ 08701-2121 | 2014-12-10 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.