DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTH GATE OPTOMETRY

MEDICARE: SOUTH GATE OPTOMETRY
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
1152W00000XOptometristOPT4694TPACA

General Provider Information

NPI Number : 1821257312
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH GATE OPTOMETRY
Provider Business Mailing Address
First Line : 3329 TWEETY BOULEVARD
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-4396
Country : US
Telephone Number : 323-566-6183
Fax Number :
Provider Business Practice Location Address
First Line : 3329 TWEEDY BLVD
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-4324
Country : US
Telephone Number : 323-566-6183
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. JACK P MELMED
Credential : OD
Telephone Number : 323-566-6183
Provider Enumeration Date : 06/09/2008
Last Update Date : 08/20/2008

Similar Medicare Providers

1871832253 — NOOR ALASADY DO
Practice Location Address:
3323 TWEEDY BLVD
SOUTH GATE, CA
90280-4324
Practice Phone: 868-774-0105
Practice Fax:
1518948223 — MR. JACK PAUL MELMED OPTOMETRIST
Practice Location Address:
3329 TWEEDY BLVD
SOUTH GATE, CA
90280-4324
Practice Phone: 323-566-6183
Practice Fax: 323-566-0319
1386769362 — FELICIA KANG CHEN O.D.
Practice Location Address:
3329 TWEEDY BLVD
SOUTH GATE, CA
90280-4324
Practice Phone: 323-566-6183
Practice Fax:
1154514370 — SOUTH GATE OPTOMETRY INC
Practice Location Address:
3329 TWEEDY BLVD
SOUTH GATE, CA
90280-4324
Practice Phone: 323-566-6183
Practice Fax:
1821401886 — DR. FABIAN CORONA O.D.
Practice Location Address:
3329 TWEEDY BLVD
SOUTH GATE, CA
90280-4324
Practice Phone: 323-566-6183
Practice Fax:
1144848201 — JONATHAN KIRIBOON OD
Practice Location Address:
3329 TWEEDY BLVD
SOUTH GATE, CA
90280-4324
Practice Phone: 323-566-6183
Practice Fax:

Directions to “SOUTH GATE OPTOMETRY ” 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.