Organization Active NPI

Envue Optometry, Inc.

  • Optometrist
  • Rosemead, CA
National Provider Identifier
1023207594
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ENVUE OPTOMETRY, INC.
Practice address
8450 Valley Blvd
Ste 110
Rosemead, CA 91770-1680
Phone
(626) 280-6212
Fax
(626) 280-6325
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Lynn Kae Szeto, O.D.NPI 1679660724
Title
President
Phone
(626) 280-6212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8450 Valley Blvd
Ste 110
Rosemead, CA 91770-1680

Mailing address

8450 Valley Blvd Ste 110
Rosemead, CA 91770-1680
Phone (626) 280-6212

Other identifiers 1

IdentifierTypeStateIssuer
GSD000900MedicaidCA

National Provider Directory

National Provider Directory

Locations

8450 Valley Blvd
Ste 110
Rosemead, CA 91770
Phone (626) 280-6212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1023207594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 VALLEY BLVD STE 110",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701680",
            "telephone_number": "626-280-6212",
            "fax_number": "626-280-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 VALLEY BLVD",
            "address_2": "STE 110",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701680",
            "telephone_number": "626-280-6212",
            "fax_number": "626-280-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVUE OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "SZETO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-280-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.