Active NPI
Old Towne Optometry, Inc.
- Optometrist
- Yorba Linda, CA
National Provider Identifier
1154812378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10250-TLG
- Legal business name
- OLD TOWNE OPTOMETRY, INC.
- Practice address
- 18291 Imperial Hwy
Yorba Linda, CA 92886-3408 - Phone
- (714) 777-1770
- Fax
- (714) 777-1292
- NPI assigned
- May 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Ashley Sherman
- Title
- Office Manager
- Phone
- (714) 777-1770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10250-TLG | CA | Primary |
Addresses
Primary practice location
18291 Imperial Hwy
Yorba Linda, CA 92886-3408
Mailing address
18291 Imperial Hwy
Yorba Linda, CA 92886-3408
Phone (714) 777-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18291 Imperial Hwy
Yorba Linda, CA 92886
Phone (714) 777-1770
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Tustin, CA
- NPI 1073962163
-
- Optometrist
- Yorba Linda, CA
- NPI 1073278826
-
- Optometrist
- Yorba Linda, CA
- NPI 1427710821
-
- Optometrist
- Yorba Linda, CA
- NPI 1255686218
-
- Optometrist
- Yorba Linda, CA
- NPI 1104265362
-
- Optometrist
- North Hollywood, CA
- NPI 1801864798
-
- Optometrist
- Parker, CO
- NPI 1558714196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527033600000",
"number": "1154812378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18291 IMPERIAL HWY",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863408",
"telephone_number": "714-777-1770",
"fax_number": "714-777-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18291 IMPERIAL HWY",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863408",
"telephone_number": "714-777-1770",
"fax_number": "714-777-1292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLD TOWNE OPTOMETRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-23",
"last_updated": "2018-05-23",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "ASHLEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "714-777-1770"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "10250-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.