Nicole-nincho Phu Ha is a Riverside, California based female Optometrist with 28 years of experience in Optometry. She completed her graduation from Southern College Of Optometry in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole-nincho Phu Ha is OPT 10694T for Optometry in California. Nicole-nincho Phu Ha examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Nicole-nincho Phu Ha speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
28+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1996
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
4605 Brockton Ave, Suite 100, Riverside, California, 92506-0106
Phone:
951-686-4911
Fax:
951-686-9409
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7810051869
Enrollment ID:
I20090205000547
NPI Number:
1609992940
NPI Enumeration Date:
21 Mar, 2007
NPI Last Update On:
02 Feb, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole-nincho Phu Ha are as mentioned below.
License Number
Specialization
State
Status
OPT 10694T
Optometry
California
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicole-nincho Phu Ha has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Riverside Eye Specialists Medical Group Inc (4082685680)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole-nincho Phu Ha such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SD0106940
Medicaid
California
OPT 10694T
Other
California
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4605 Brockton Ave, Suite 100 Riverside, California
Zip:
92506-0106
Phone Number:
951-686-4911
Fax Number:
951-686-9409
Patients can reach Nicole-nincho Phu Ha at 4605 Brockton Ave, Suite 100, Riverside, California or can call to book an appointment on 951-686-4911. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Optometrist in Riverside, CA
Ms. Janet Elizabeth Kohtz, O.D. Speciality: Optometrist Address: 6700 Indiana Ave, Suite 155, CA Phone: 951-682-1600 Fax: 951-682-1680