Organization Active NPI

KW Optometric Eye Care Inc

  • Optometrist
  • Norwalk, CA
National Provider Identifier
1205523016
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KW OPTOMETRIC EYE CARE INC
Practice address
10620 Firestone Blvd
Norwalk, CA 90650-7410
Phone
(562) 406-8808
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Dr. Kevin Kai Wang, ODNPI 1851677553
Title
Owner
Phone
(310) 953-5861

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 Primary

Addresses

Primary practice location

10620 Firestone Blvd
Norwalk, CA 90650-7410

Mailing address

5516 Wilma St
Torrance, CA 90503-1231
Phone (310) 953-5861

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1205523016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 WILMA ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031231",
            "telephone_number": "310-953-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507410",
            "telephone_number": "562-406-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KW OPTOMETRIC EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "KAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-953-5861",
        "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": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.