Organization Active NPI

Brea Optometry

  • Optometrist
  • Brea, CA
National Provider Identifier
1023417896
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12789T Issued in CA
Legal business name
BREA OPTOMETRY
Practice address
400 W Lambert Rd
Suite a
Brea, CA 92821-3936
Phone
(714) 671-2020
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Diane M Almanza, ODNPI 1790823839
Title
Owner Doctor
Phone
(714) 671-2020

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
Optometrist 152W00000X 12789T CA Primary

Addresses

Primary practice location

400 W Lambert Rd
Suite a
Brea, CA 92821-3936

Mailing address

400 W Lambert Rd
Suite a
Brea, CA 92821-3936
Phone (714) 671-2020

National Provider Directory

National Provider Directory

Locations

400 W Lambert Rd
Ste A
Brea, CA 92821
Phone (714) 256-2040

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1023417896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LAMBERT RD",
            "address_2": "SUITE A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213936",
            "telephone_number": "714-671-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LAMBERT RD",
            "address_2": "SUITE A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213936",
            "telephone_number": "714-671-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "ALMANZA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "714-671-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12789T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.