Active NPI
Cindy Tieu
- Optometrist
- Los Angeles, CA
National Provider Identifier
1104719301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 36046
- Practice address
- 11301 Wilshire Blvd.
Eyecare Center BLDG. 304 Room 2-111
Los Angeles, CA 90073 - Phone
- (626) 380-6945
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 36046 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd.
Eyecare Center BLDG. 304 Room 2-111
Los Angeles, CA 90073
Mailing address
1118 E Herring Ave
West Covina, CA 91790-4322
Other practice location 1
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (626) 380-6945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
27271 Las Ramblas
Mission Viejo, CA 92691-8004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1104719301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 E HERRING AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917904322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD.",
"address_2": "EYECARE CENTER BLDG. 304 ROOM 2-111",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "626-380-6945"
}
],
"practiceLocations": [
{
"address_1": "11301 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "626-380-6945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIEU",
"first_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "36046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.