Wenjun Huang (NPI# 1972910578, PAC ID# 7214159474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1972910578 |
| PAC ID by PECOS | 7214159474 |
| Professional Enrollment ID | I20141104001316 |
| Full Name | Wenjun Huang |
| Organization Legal Name | PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE |
| Address |
628 California Blvd Suite D San Luis Obispo CA 93401-2558 |
| Phone Number | 8055431447 |
| Gender | F |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456319979 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7605 Morro Rd, Atascadero, CA 93422-4433 | 8054663777 | PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE |
| 628 California Blvd, Suite D, San Luis Obispo, CA 93401-2558 | 8055431447 | PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE |
| Organization Legal Name | PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren R Tackett | Optometry | Primary Eyecare Center An Optometric Practice | 628 California Blvd, Suite D, San Luis Obispo, CA 93401-2558 |
| Quyen T Immoos | Optometry | Primary Eyecare Center An Optometric Practice | 7605 Morro Rd, Atascadero, CA 93422-4433 |
| Steven S Hider | Optometry | Primary Eyecare Center An Optometric Practice | 7605 Morro Rd, Atascadero, CA 93422-4433 |
| Charles Tribbey | Optometry | Primary Eyecare Center An Optometric Practice | 7605 Morro Rd, Atascadero, CA 93422-4433 |
| Street Address |
628 CALIFORNIA BLVD SUITE D |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93401-2558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren R Tackett | Optometry | Primary Eyecare Center An Optometric Practice | 628 California Blvd, Suite D, San Luis Obispo, CA 93401-2558 |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Randall L Lonsbrough | Oral Surgery | 628 California Blvd, F1, San Luis Obispo, CA 93401-2574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Mark I Soll | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
| Specialty | OPTOMETRY |
| City + Specialty | SAN LUIS OBISPO + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.