Elizabeth Wright, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33855TLG Issued in CA

Practice address

2700 E Foothill Blvd Ste 207
Pasadena, CA 91107-7111

Phone

(626) 578-9685

NPI assigned

Dec 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Southern California College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Martinez OD PLLCGroup PAC ID 6305266693, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Martinez OD, PLLC

  • Optometrist
  • Henderson, NV
  • NPI 1366040305
  Medicare reassignment Care Compare group NPD
• Optic Gallery Aliante Inc

  • Optometrist
  • Las Vegas, NV
  • NPI 1629493804
  Medicare reassignment NPD

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1104331305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E HEATHER CIR",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021480",
            "telephone_number": "702-401-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077111",
            "telephone_number": "626-578-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33855TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberta Wright, AMFT
• Breanna Wright
• Brittany Wright
• Cathy Dodge Wright, LCSW
• Djuan Wright, MS
• Gregory Brian Wright, LMFT 121571
• Gregory Scott Wright, CRNA
• Jade Wright
• Trinetta Queen-Ester Wright
• Amanda K Wu

• Optometrist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.