Individual provider Active NPI

Alvin Kwan Yang Lo, O.D.

  • Optometrist
  • Hacienda Heights, CA
National Provider Identifier
1053473728
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9910T Issued in CA
Practice address
17110 Colima Rd Ste F
Hacienda Heights, CA 91745-6786
Phone
(626) 912-3937
Fax
(626) 469-4949
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9910T CA Primary

Addresses

Primary practice location

17110 Colima Rd Ste F
Hacienda Heights, CA 91745-6786

Mailing address

17110 Colima Rd Ste F
Hacienda Heights, CA 91745-6786
Phone (626) 912-3937

Other practice location 1

451 W Foothill Blvd
Glendora, CA 91741-3363
Phone (626) 969-7859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201002095 CA Practitioner - Optometry 2961712203 Reassigns benefits to 1 organization
Practice locations: Azusa, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17134 Colima Rd
Suite Bandc
Hacienda Heights, CA 91745-6737
Phone (626) 912-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9910TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optika Optometrics Optometrist CurrentSince Feb 14, 2018 Accepting new patients
Optika Optometrics Optometrist PastSince Feb 6, 2022 Accepting new patients

Locations

17110 Colima Rd
Ste F
Hacienda Heights, CA 91745

17134 Colima Rd
Ste Bc
Hacienda Heights, CA 91745
Phone (626) 912-3937

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1053473728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 COLIMA RD STE F",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456786",
            "telephone_number": "626-912-3937",
            "fax_number": "626-469-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 COLIMA RD STE F",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456786",
            "telephone_number": "626-912-3937",
            "fax_number": "626-469-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 W Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917413363",
            "country_code": "US",
            "telephone_number": "626-969-7859",
            "fax_number": "626-969-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "ALVIN",
        "middle_name": "KWAN YANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9910T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.