Organization Active NPI

Lynn Watt Kurata, OD Faao an Optometric Corporation

  • Optometrist
  • Santa Monica, CA
National Provider Identifier
1255741468
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7676TPG Issued in CA
Legal business name
LYNN WATT KURATA, OD FAAO AN OPTOMETRIC CORPORATION
Practice address
1234 7TH St Ste 2
Santa Monica, CA 90401-1614
Phone
(310) 395-5778
Fax
(310) 458-9754
NPI assigned
Apr 28, 2014
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Lynn Watt Kurata, MS, OD, FAAONPI 1841225158
Title
Owner
Phone
(310) 801-7045

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OPT7676TPG CA
Optometrist 152W00000X OPT7676TPG CA Primary

Addresses

Primary practice location

1234 7TH St Ste 2
Santa Monica, CA 90401-1614

Mailing address

1234 7TH St Ste 2
Santa Monica, CA 90401-1614
Phone (310) 395-5778

Other identifiers 1

IdentifierTypeStateIssuer
PTAN 7394100001OtherCANSC DMEPOS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140826000006 CA Part B Supplier - Clinic/Group Practice 7012135528 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

1234 7th St
Ste 2
Santa Monica, CA 90401
Phone (310) 395-5778

Practitioners & affiliated clinicians

Practitioners 5

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": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1255741468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 7TH ST STE 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011614",
            "telephone_number": "310-395-5778",
            "fax_number": "310-458-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 7TH ST STE 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011614",
            "telephone_number": "310-395-5778",
            "fax_number": "310-458-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN WATT KURATA, OD FAAO AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "KURATA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "WATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-801-7045",
        "authorized_official_credential": "MS, OD, FAAO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "OPT7676TPG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7676TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC DMEPOS",
            "identifier": "PTAN 7394100001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.