NPIMap

Organization Active NPI

Craig Van Woerkom, O.D., a.P.C.

Doing business as Pasadena Optometry Center

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1225170434
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11769T Issued in CA
Legal business name
CRAIG VAN WOERKOM, O.D., A.P.C.
Doing business as
Pasadena Optometry Center
Practice address
960 E Green St
Suite 1000
Pasadena, CA 91106-2401
Phone
(626) 793-1483
Fax
(626) 793-5449
NPI assigned
Feb 13, 2007
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Craig Arthur Van Woerkom, O. D.NPI 1811965320
Title
Owner
Phone
(626) 793-1483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11769T CA Primary

Addresses

Primary practice location

960 E Green St
Suite 1000
Pasadena, CA 91106-2401

Mailing address

960 E Green St
Suite 1000
Pasadena, CA 91106-2401
Phone (626) 793-1483

Other identifiers 1

IdentifierTypeStateIssuer
W21396OtherCAMEDICARE PTAN

Other names 1

  • Pasadena Optometry Center Doing business as

National Provider Directory

National Provider Directory

Locations

960 E Green St
Pasadena, CA 91106
Phone (626) 340-9060

960 E Green St
Ste 1000
Pasadena, CA 91106
Phone (626) 793-1483

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1225170434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 1000",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-793-1483",
            "fax_number": "626-793-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 1000",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-793-1483",
            "fax_number": "626-793-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG VAN WOERKOM, O.D., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "VAN WOERKOM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-793-1483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11769T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W21396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Optometry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.