Encino Optometric Center Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12641T Issued in CA

Legal business name

ENCINO OPTOMETRIC CENTER CORP.

Practice address

16550 Ventura Blvd Ste 312
Encino, CA 91436-2034

Phone

(818) 986-8860

NPI assigned

Jan 18, 2008

Last updated

Aug 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aung-Zaw Phoo, O.D.NPI 1548311855

Title

President

Phone

(818) 986-8860

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aung-Zaw Phoo, O.D.

  • Optometrist
  • Encino, CA
  • NPI 1548311855
  Medicare reassignment Care Compare group Authorized official
• Andrea Wong, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1699188904
  Medicare reassignment Care Compare group NPD
• Ann Nguyen, O.D.

  • Optometrist
  • Federal Way, WA
  • NPI 1780098459

  CA

  Medicare reassignment Care Compare group NPD
• Robert Larry Gordon, OD

  • Optometrist
  • Pomona, CA
  • NPI 1285692509
  NPD (past)
• Andrea Carol Silvers, OD

  • Optometrist
  • Encino, CA
  • NPI 1730147059
  NPD (past)
• Rachel Cheryl Simkin, OTR/L, OTD

  • Low Vision Occupational Therapist
  • Los Angeles, CA
  • NPI 1841637667
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1013193127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 312",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362034",
            "telephone_number": "818-986-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 312",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362034",
            "telephone_number": "818-986-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO OPTOMETRIC CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "PHOO",
        "authorized_official_first_name": "AUNG-ZAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-986-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12641T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013193127",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Encino Medical Urgent Care Inc.
• Encino Medical Wellness Center
• Encino Neurodiagnostic Center
• Encino Neurological Medical Group
• Encino Open MRI Inc
• Encino Orthodontics
• Encino Outpatient Surgery Center, LLC
• Encino Place Pain & Surgery Center LLC
• Encino Place Pain Management and Surgery Center Inc
• Encino Place Pain Management and Surgery Center, Inc.

• Optometrist in Encino, CA
• Providers in Encino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.