Organization Active NPI

Bright Eye Care

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1083781769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP9461T Issued in CA
Legal business name
BRIGHT EYE CARE
Practice address
419 N Atlantic Blvd # 104-105
Monterey Park, CA 91754-7701
Phone
(626) 282-7579
Fax
(626) 282-6841
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Lai
Title
Administrator
Phone
(626) 282-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OP9461T CA Primary

Addresses

Primary practice location

419 N Atlantic Blvd # 104-105
Monterey Park, CA 91754-7701

Mailing address

419 N Atlantic Blvd # 104-105
Monterey Park, CA 91754-7701
Phone (626) 282-7579

Other identifiers 1

IdentifierTypeStateIssuer
SD0094610MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Bright Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

419 N Atlantic Blvd
#104105
Monterey Park, CA 91754
Phone (626) 282-7579

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083781769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N ATLANTIC BLVD # 104-105",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547701",
            "telephone_number": "626-282-7579",
            "fax_number": "626-282-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N ATLANTIC BLVD # 104-105",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547701",
            "telephone_number": "626-282-7579",
            "fax_number": "626-282-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-282-7579",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP9461T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0094610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.