Optometric Alliance Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11694 Issued in CA

Legal business name

OPTOMETRIC ALLIANCE INC

Practice address

2360 Huntington Dr
#200
San Marino, CA 91108-2656

Phone

(626) 737-7319

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Judy Liao, O.D.

Title

Director

Phone

(626) 737-7319

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dennis Leung, O.D.

  • Optometrist
  • Arcadia, CA
  • NPI 1376572743
  NPD (past)
• Jiyen Shin, O.D.

  • Optometrist
  • San Gabriel, CA
  • NPI 1760411169
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1033517008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 HUNTINGTON DR",
            "address_2": "#210",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082656",
            "telephone_number": "626-737-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 HUNTINGTON DR",
            "address_2": "#200",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082656",
            "telephone_number": "626-737-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-737-7319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Sherwood Nolan Jr., PSYD, LMFT
• Jessica Eve Nunez
• Oakwell Pediatrics
• Maria Rodelita Deypalan Odono, RD
• Jennifer Oh, NP
• E Eugene Orlowsky, CHIROPRACTOR
• P.S. Enterprise, Inc
• Erin Loyd Page
• Deborah Palmer
• Jacqueline J Pardo, CCC-SLP

• Optometrist in San Marino, CA
• Providers in San Marino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.