Elements Optometry P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELEMENTS OPTOMETRY P.C.

Practice address

703 Pier Ave Ste C
Hermosa Beach, CA 90254-3958

Phone

(310) 374-9899

Fax

(310) 376-1195

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

M. Catarina Jang, ODNPI 1851480479

Title

President

Phone

(310) 374-9899

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• M. Catarina Jang, O.D.

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1851480479
  Medicare reassignment NPD Authorized official
• Stella Ma, O.D.

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1508427345
  Medicare reassignment NPD
• Joanna Vuong, O.D.

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1205380334
  NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1053880468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958",
            "telephone_number": "310-374-9899",
            "fax_number": "310-376-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PIER AVE STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958",
            "telephone_number": "310-374-9899",
            "fax_number": "310-376-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "M. CATARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-374-9899",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.