Individual provider Active NPI

Julie Oh, O.D.

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1215127691
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13367T Issued in CA
Practice address
1 W Duarte Rd Ste B
Arcadia, CA 91007-6930
Phone
(626) 446-6300
Fax
(626) 446-6301
NPI assigned
Jul 31, 2007
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13367T CA Primary

Addresses

Primary practice location

1 W Duarte Rd Ste B
Arcadia, CA 91007-6930

Mailing address

1 W Duarte Rd Ste B
Arcadia, CA 91007-6930
Phone (626) 446-6300

Other practice location 1

14914 Sherman Way
Van Nuys, CA 91405-2113
Phone (818) 787-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000541 CA Practitioner - Optometry 1456446251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 W Duarte Rd
Suite B
Arcadia, CA 91007-6930
Phone (626) 446-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13367TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vision Optometry Inc. Optometrist CurrentSince Aug 12, 2021 Accepting new patients

Locations

1 W Duarte Rd
Ste B
Arcadia, CA 91007
Phone (626) 446-6300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1215127691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W DUARTE RD STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076930",
            "telephone_number": "626-446-6300",
            "fax_number": "626-446-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W DUARTE RD STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076930",
            "telephone_number": "626-446-6300",
            "fax_number": "626-446-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14914 Sherman Way",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914052113",
            "country_code": "US",
            "telephone_number": "818-787-2020",
            "fax_number": "818-787-8652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "JULIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13367T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.