Lieu That Ton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10557TPL Issued in CA

Practice address

358 N Lemon Ave
Walnut, CA 91789-2345

Phone

(909) 869-9448

Fax

(909) 869-9354

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Optometry of Walnut, Inc.

  • Optometrist
  • Walnut, CA
  • NPI 1699780379
  NPD (past) Authorized official

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1023009693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892345",
            "telephone_number": "909-869-9448",
            "fax_number": "909-869-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892345",
            "telephone_number": "909-869-9448",
            "fax_number": "909-869-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON",
        "first_name": "LIEU",
        "middle_name": "THAT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10557TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S00105570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misgana Teklai
• The Filipina Social Worker
• The Turning Point Transitional Housing
• Tien Chun D. Wang D.M.D., Inc
• Tita Deguzman Insurance Agency, Inc
• Roderick Irvin Torres, PT
• Traditional Acupuncture Clinic
• Monica G Trinidad, MD
• Ashish R. Trivedi, PHARM.D.
• Trucare Telehealth Medical Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.