Diamond Vision Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13593 Issued in CA

Legal business name

DIAMOND VISION OPTOMETRY INC

Practice address

350 S Lake Ave
#111
Pasadena, CA 91101-3530

Phone

(626) 683-6868

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Wilbur Wu, ODNPI 1275789000

Title

President

Phone

(626) 683-6868

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Wilbur Wu, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1275789000
  Medicare reassignment NPD Authorized official
• Grace Tran CHI, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1366607558
  Medicare reassignment NPD
• Jacqueline Wu, O.D.

  • Optometrist
  • Pasadena, CA
  • NPI 1487808374
  Medicare reassignment NPD
• Andy Zhang

  • Student in an Organized Health Care Education/Training Program
  • San Gabriel, CA
  • NPI 1972026888
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1194027748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S LAKE AVE",
            "address_2": "#111",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013530",
            "telephone_number": "626-683-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S LAKE AVE",
            "address_2": "#111",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013530",
            "telephone_number": "626-683-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND VISION OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-683-6868",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Oh Diab
• Fatimata Hajia Diakite, RN
• Camille Dial
• Dialogs With Life a Medical Corporation
• Diamond Vision Optometry Associates and GTC Optometry
• Lisa Diamond
• Marcela Diaz-Smoire, LMFTI
• Ana Diaz
• Berenis Diaz
• Dayanira Diaz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.

Verify at the official NPI Registry.