Smarteyes Optometry

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

12911 Issued in CA

Legal business name

SMARTEYES OPTOMETRY

Practice address

25 E Huntington Dr
Suite #111
Arcadia, CA 91006-3210

Phone

(626) 393-8885

Fax

(626) 821-5380

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sandia Ou, O.D.NPI 1578516977

Title

Optometrist

Phone

(626) 393-8885

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Sandia Jen Ou, O.D.

  • Optometrist
  • Arcadia, CA
  • NPI 1578516977
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1033358205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E LONGDEN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065352",
            "telephone_number": "626-393-8885",
            "fax_number": "626-821-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E HUNTINGTON DR",
            "address_2": "SUITE #111",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063210",
            "telephone_number": "626-393-8885",
            "fax_number": "626-821-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTEYES OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "SANDIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-393-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "12911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0129110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Sledd, MFT
• Smart Spine Institute
• Smart Spine Institute Inc
• Smart Surgery Center, LLC
• Smart Wound Care a California Medical Corporation
• Brian William Snaer, D.D.S.
• Kevin John Snaer, D.D.S.
• John Snowden, D.D.S.
• Kit Ming Shermaine So Magallanes, LMFT
• Eddie N So, D.D.S., D.C.

• Exclusive Provider Organization in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.