Alpa Panwala, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10911T Issued in CA

Practice address

4255 Campus Dr
Suite A110
Irvine, CA 92612-8650

Phone

(949) 854-7122

Fax

(949) 854-7322

NPI assigned

Dec 9, 2006

Sex

Female

Sole proprietor

No

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 CA

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

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.

• Tedder Optometric Corporation, PC

  • Optometrist
  • Lake Forest, CA
  • NPI 1679262158
  Medicare reassignment NPD
• Hansra Optometric Corporation

  • Eyewear Supplier
  • Sacramento, CA
  • NPI 1366258436
  NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Pacific Optometric Group

  • Optometrist
  • Irvine, CA
  • NPI 1093529158
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1104986462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DR",
            "address_2": "SUITE A110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128650",
            "telephone_number": "949-854-7122",
            "fax_number": "949-854-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DR",
            "address_2": "SUITE A110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128650",
            "telephone_number": "949-854-7122",
            "fax_number": "949-854-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANWALA",
        "first_name": "ALPA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10911T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Von Panganiban
• Shoshana Panitz, AGPCNP
• Jessica Central Panjavongroj
• Pans Medical Center
• Tania Catalina Pantoja Garcia, BS
• Albert Kai Lok Pao
• Stephanie Pappas
• Alissa Monique Paquillo
• Paradise Speech Clinic LLC
• Julianne L Paragas, CRNA, RN, CCRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.