Organization Active NPI

Bliss Optometry a Professional Corporation

  • Optometrist
  • Marina del Rey, CA
National Provider Identifier
1093550238
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BLISS OPTOMETRY A PROFESSIONAL CORPORATION
Practice address
13400 Washington Blvd Unit 111
Marina del Rey, CA 90292-5656
Phone
(626) 328-5741
NPI assigned
Jun 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Authorized official

Name
Dr. Tina Cheng, ODNPI 1568591196
Title
Ceo
Phone
(626) 328-5741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13400 Washington Blvd Unit 111
Marina del Rey, CA 90292-5656

Mailing address

5000 S Centinela Ave Apt 326
Los Angeles, CA 90066-6965

National Provider Directory

National Provider Directory

Locations

13400 Washington Blvd
Unit 111
Marina del Rey, CA 90292
Phone (626) 328-5741

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719705600000",
    "number": "1093550238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S CENTINELA AVE APT 326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 WASHINGTON BLVD UNIT 111",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925656",
            "telephone_number": "626-328-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS OPTOMETRY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-328-5741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; 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.