Physician Compare National (NPI:1285061598)

HEALTHCARE PROVIDER: CALEB POON

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285061598
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507177052
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150624002180
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POON
	Individual professional last name
Provider First Name	CALEB
	Individual professional first name
Provider Middle Name	HUE-KEI
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4951 SLATTEN RANCH RD JCP
	Group Practice or individual's line 1 address
City	ANTIOCH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945318695
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9257791844
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y