I-Sight Optometric Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11476 T Issued in CA

Legal business name

I-SIGHT OPTOMETRIC CENTER INC

Practice address

11600 Wilshire Blvd Ste 110
Los Angeles, CA 90025-1733

Phone

(310) 475-7602

Fax

(310) 477-0866

NPI assigned

Oct 3, 2007

Last updated

May 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Kimura, O.D.NPI 1912986472

Title

President

Phone

(310) 475-7602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Daniel K. Kimura, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1912986472
  Medicare reassignment NPD Authorized official
• Jennifer Anne Dang, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1770921942
  Medicare reassignment NPD

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1043407026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251733",
            "telephone_number": "310-475-7602",
            "fax_number": "310-477-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251733",
            "telephone_number": "310-475-7602",
            "fax_number": "310-477-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-SIGHT OPTOMETRIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "KIMURA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-475-7602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11476 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annie Muco Iacarella, CRNA

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.