MEDICARE: JAMIE PEREDO O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	14246 TLG	CA

General Provider Information

NPI Number	:	1801172077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE PEREDO O.D.

Provider Business Mailing Address
First Line	:	4141 S NOGALES ST
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91792-3056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 S NOGALES ST
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91792-3056
Country	:	US
Telephone Number	:	626-839-1010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	11/01/2011

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1528089661 — JEAN HOJIN KIM, OD, INC.
Practice Location Address:

4141 S NOGALES ST
WEST COVINA, CA
91792-3056

Practice Phone: 626-839-1010
Practice Fax:

1780734152 — DR. JAMES P CHEUNG OPTOMETRIST
Practice Location Address:

4141 S NOGALES ST , BUILDING C UNIT 101
WEST COVINA, CA
91792-3056

Practice Phone: 626-839-1010
Practice Fax: 626-839-1013

1881893394 — JAMES CHEUNG & JANA CHEN ODS A PROFESSIONAL CORPORATION
Practice Location Address:

4141 S NOGALES ST , BUILDING C UNIT 101
WEST COVINA, CA
91792-3056

Practice Phone: 626-839-1010
Practice Fax:

1689384786 — CLARISSA JOY JOHNSON
Practice Location Address:

4141 S NOGALES ST
WEST COVINA, CA
91792-3056

Practice Phone: 833-831-8946
Practice Fax:

1992417356 — KARINA GARCIA
Practice Location Address:

4141 S NOGALES ST
WEST COVINA, CA
91792-3056

Practice Phone: 661-205-3823
Practice Fax:

Directions to “ JAMIE PEREDO O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.