Larchmont Optometrics, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

9938T Issued in CA

Legal business name

LARCHMONT OPTOMETRICS, INC

Practice address

317 N Larchmont Blvd
Los Angeles, CA 90004-3011

Phone

(323) 465-9682

NPI assigned

Nov 13, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria L. Auerbach, O.D.NPI 1669515433

Title

Optometrist

Phone

(323) 465-9682

Specialties & licenses 2

Addresses

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, and the practitioner matching its NPPES authorized official.

• Maria Lorraine Auerbach, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1669515433
  Medicare reassignment Authorized official
• Arpie Jasmine Bosnoyan, O.D

  • Optometrist
  • Los Angeles, CA
  • NPI 1902258825
  Medicare reassignment
• Nicole Pham Nguyen, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1023787249
  NPD
• Janette J Kim, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1497807838
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1255511796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043011",
            "telephone_number": "323-465-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043011",
            "telephone_number": "323-465-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT OPTOMETRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "323-465-9682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9938T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12815T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larchmont Charter School
• Larchmont Diagnostic Laboratories, Inc.
• Larchmont Family Dentists - Kezian Dental Group
• Larchmont Medical Center and Urgent Care PC
• Larchmont Medical Radiology Inc.
• Larchmont Pediatrics, Inc.
• Larchmont Radiology
• Larchmont Surgery Center, LLC
• Larchmont Traditional Medicine
• Larchmont Village Dental Specialty Center, Inc.

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.