Supervision Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA13182T Issued in CA

Legal business name

SUPERVISION OPTOMETRY INC

Practice address

1200 S Sunset Ave
Suite #1
West Covina, CA 91790-3903

Phone

(626) 962-2839

Fax

(626) 962-1819

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Chieh Ju Lee, ODNPI 1477654408

Title

President

Phone

(626) 962-2839

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Chieh-Ju Lee, O.D.

  • Optometrist
  • West Covina, CA
  • NPI 1477654408
  Medicare reassignment NPD Authorized official
• Chieh-Li Lee, O.D.

  • Optometrist
  • West Covina, CA
  • NPI 1477862803
  Medicare reassignment NPD
• Roger Chan, M.D.

  • Ophthalmology Physician
  • Rosemead, CA
  • NPI 1104965375
  NPD (past)
• Catherine Huang, O.D.

  • Optometrist
  • Montebello, CA
  • NPI 1518976448
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1194998443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S SUNSET AVE",
            "address_2": "SUITE #1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903903",
            "telephone_number": "626-962-2839",
            "fax_number": "626-962-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S SUNSET AVE",
            "address_2": "SUITE #1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903903",
            "telephone_number": "626-962-2839",
            "fax_number": "626-962-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERVISION OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHIEH JU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-962-2839",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA13182T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0131820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunset Garvey Medical Group
• Sunset Medical Clinic Inc
• Sunset Psychiatric Medical Center
• Sunset Surgical Center a Medical Corporation
• Xiuhua Suo
• Supportive Services by Houseal, Licensed Clinical Social Worker Inc.
• Bryan Swickard
• Robyn Swift
• Thai Thuy Ta, D.D.S.
• Matthew Tabanfar

• Optometrist in West Covina, CA
• Providers in West Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.