NPIMap

Organization Active NPI

Puente Hills Optometry Inc.

  • Optometrist
  • West Covina, CA
National Provider Identifier
1124468236
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PUENTE HILLS OPTOMETRY INC.
Practice address
2036 Plaza Dr
West Covina, CA 91790-2842
Phone
(626) 960-5537
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Dipak PatelNPI 1225237142
Title
Owner/President
Phone
(626) 960-5537

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2036 Plaza Dr
West Covina, CA 91790-2842

Mailing address

2036 Plaza Dr
West Covina, CA 91790-2842
Phone (626) 960-5537

National Provider Directory

National Provider Directory

Locations

2036 Plaza Dr
West Covina, CA 91790
Phone (626) 960-5537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1124468236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 PLAZA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902842",
            "telephone_number": "626-960-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 PLAZA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902842",
            "telephone_number": "626-960-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTE HILLS OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "626-960-5537"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.