Individual provider Active NPI

Nuntida K Sangprasit, O.D.

  • Optometrist
  • Torrance, CA
National Provider Identifier
1124216569
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13363 Issued in CA
Practice address
3871 Pacific Coast Hwy
Torrance, CA 90505-5915
Phone
(310) 375-9230
Fax
(310) 375-9420
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13363 CA Primary

Addresses

Primary practice location

3871 Pacific Coast Hwy
Torrance, CA 90505-5915

Mailing address

3871 Pacific Coast Hwy
Torrance, CA 90505-5915
Phone (310) 375-9230

Other names 1

  • Dr. Kathy Sangprasit Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080121000292 CA Practitioner - Optometry 1850472481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3871 Pacific Coast Hwy
Torrance, CA 90505-5915
Phone (310) 375-9230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13363CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Zone Optometry, Inc. Optometrist CurrentSince Jun 26, 2014 Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

3871 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 375-9230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1124216569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055915",
            "telephone_number": "310-375-9230",
            "fax_number": "310-375-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055915",
            "telephone_number": "310-375-9230",
            "fax_number": "310-375-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGPRASIT",
        "first_name": "NUNTIDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SANGPRASIT",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.