Teruo Watanabe, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5612T Issued in CA

Legal business name

TERUO WATANABE, O.D., INC.

Practice address

18045 Gale Ave
City of Industry, CA 91748-1245

Phone

(626) 912-3937

Fax

(626) 913-8869

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Teruo Watanabe, O.D.

Title

Optometrist/President

Phone

(626) 912-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PLAZAVISION OPTOMETRY Doing business as

Locations

Practitioners 1

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

• Alysa E. Watanabe, O.D.

  • Optometrist
  • Monrovia, CA
  • NPI 1467617175
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1285726877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18045 GALE AVE",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481245",
            "telephone_number": "626-912-3937",
            "fax_number": "626-913-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18045 GALE AVE",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481245",
            "telephone_number": "626-912-3937",
            "fax_number": "626-913-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERUO WATANABE, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "TERUO",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "626-912-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5612T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "FV512A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0056121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZAVISION OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Taylor
• Aaron Tea, NP
• Kimberly Danielle Telleria
• Luz Maria Tellez
• Chia-Yu Teng, M.D.
• The Industrial Clinic at Montclair, a Med Corp
• Thomas C. Lee M.D. Inc.
• Carlie Fay Armour Thompson
• Kai Fong Tiu, L.AC.
• Xuyen To

• Optometrist in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.