NPIMap

Organization Active NPI

Justin Prasad, OD a Professional Optometric Corporation

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1184839482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12697T Issued in CA
Legal business name
JUSTIN PRASAD, OD A PROFESSIONAL OPTOMETRIC CORPORATION
Practice address
6332 E Spring St
Long Beach, CA 90815-1424
Phone
(562) 421-4488
Fax
(562) 421-0233
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Justin Prasad, O.D.NPI 1164506770
Title
Optometrist
Phone
(562) 421-4488

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 OPT12697T CA Primary

Addresses

Primary practice location

6332 E Spring St
Long Beach, CA 90815-1424

Mailing address

6332 E Spring St
Long Beach, CA 90815-1424
Phone (562) 421-4488

Other names 1

  • Long Beach Family Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

6332 E Spring St
Long Beach, CA 90815
Phone (562) 421-4488

Practitioners & affiliated clinicians

Practitioners 2

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184839482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151424",
            "telephone_number": "562-421-4488",
            "fax_number": "562-421-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151424",
            "telephone_number": "562-421-4488",
            "fax_number": "562-421-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN PRASAD, OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "562-421-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12697T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.