NPIMap

Organization Active NPI

Sally Oeung, OD Inc.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1043606361
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14264TLG Issued in CA
Legal business name
SALLY OEUNG, OD INC.
Practice address
11822 Gilbert St
Garden Grove, CA 92841-2720
Phone
(714) 636-8850
Fax
(714) 636-8856
NPI assigned
Apr 14, 2015
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Sally Oeung, O.D.NPI 1578843991
Title
Owner
Phone
(714) 636-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14264TLG CA Primary

Addresses

Primary practice location

11822 Gilbert St
Garden Grove, CA 92841-2720

Mailing address

11822 Gilbert St
Garden Grove, CA 92841-2720
Phone (714) 636-8850

National Provider Directory

National Provider Directory

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": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1043606361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11822 GILBERT ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412720",
            "telephone_number": "714-636-8850",
            "fax_number": "714-636-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11822 GILBERT ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412720",
            "telephone_number": "714-636-8850",
            "fax_number": "714-636-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY OEUNG, OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "OEUNG",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-636-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14264TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.