Annessa Du, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ANNESSA DU, O.D., A PROFESSIONAL CORPORATION

Practice address

11346 Mountain View Ave Ste B
Loma Linda, CA 92354-3833

Phone

(909) 796-0101

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Annessa Du, ODNPI 1366008633

Title

Chief Executive Officer

Phone

(626) 696-6961

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Annessa Du

  • Optometrist
  • Loma Linda, CA
  • NPI 1366008633
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Lin, OD

  • Optometrist
  • Montebello, CA
  • NPI 1225513229
  Medicare reassignment Care Compare group NPD
• Tiffany Christine Kwong, OD

  • Optometrist
  • Temple City, CA
  • NPI 1003427469
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674950400000",
    "number": "1194430074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332463",
            "telephone_number": "626-696-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11346 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543833",
            "telephone_number": "909-796-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNESSA DU, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "ANNESSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-696-6961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rae Angeles, NP
• Matthew Angkadjaja
• Katia Angulo
• James D. Anholm, M.D.
• Nayo Euphemia Animasaun
• Graciela E Anobile, NP
• Alireza Ansari, DDS
• Faisal Ansari, DO
• Ronald William Anthony, NP
• Arvin Rey E Antonio

• Optometrist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.