Quynh Alcazar, OD
Individual provider Active NPI Optometrist · Norwalk, CA
NPI 1609599356 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1609599356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 35313 (CA)
- Practice address
- 10620 Firestone Blvd
Norwalk, CA 90650-7410 - Phone
- (562) 868-1500
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221024001179 | CA | Practitioner - Optometry | 5597131193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35313 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohammad Reza Neal MD Inc | Current |
Accepting new patients |
Locations
1211 W La Palma Ave
Ste 201
Anaheim, CA 92801
Phone (714) 533-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35313 | CA | Yes |
Addresses
Primary practice location
10620 Firestone Blvd
Norwalk, CA 90650-7410
Mailing address
6835 Mulberry LN
Garden Grove, CA 92845-2914
Phone (714) 510-7467
Other practice location 1
1211 W La Palma Ave Ste 201
Anaheim, CA 92801-2810
Phone (714) 533-2020
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.