Active NPI
Craig J Cucher
- Optometrist
- Los Angeles, CA
National Provider Identifier
1215992078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12068T
- Practice address
- 1545 Westwood Blvd
Los Angeles, CA 90024-5601 - Phone
- (310) 477-0677
- Fax
- (310) 477-1677
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12068T | CA | Primary |
Addresses
Primary practice location
1545 Westwood Blvd
Los Angeles, CA 90024-5601
Mailing address
1545 Westwood Blvd
Los Angeles, CA 90024-5601
Phone (310) 477-0677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12068T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1215992078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 WESTWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245601",
"telephone_number": "310-477-0677",
"fax_number": "310-477-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 WESTWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245601",
"telephone_number": "310-477-0677",
"fax_number": "310-477-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCHER",
"first_name": "CRAIG",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12068T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.