NPIMap

Organization Active NPI

Dr C Optometry

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1265570030
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7149T Issued in CA
Legal business name
DR C OPTOMETRY
Practice address
10940 Santa Monica Blvd
Los Angeles, CA 90025-4539
Phone
(310) 966-5030
Fax
(310) 966-9369
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Dr. Lynette Marie Cacciotti, O.D.NPI 1578619151
Title
Owner
Phone
(310) 966-5030

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7149T CA Primary

Addresses

Primary practice location

10940 Santa Monica Blvd
Los Angeles, CA 90025-4539

Mailing address

10940 Santa Monica Blvd
Los Angeles, CA 90025-4539
Phone (310) 966-5030

National Provider Directory

National Provider Directory

Locations

10940 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 966-5030

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1265570030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254539",
            "telephone_number": "310-966-5030",
            "fax_number": "310-966-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254539",
            "telephone_number": "310-966-5030",
            "fax_number": "310-966-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR C OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "CACCIOTTI",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-966-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7149T",
            "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 Sep 5, 2012; 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.