Active NPI
Bliss Optometry a Professional Corporation
- Optometrist
- Marina del Rey, CA
National Provider Identifier
1093550238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tina Cheng, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.
-
- Optometrist
- Marina del Rey, CA
- NPI 1568591196
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.