South Bay Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

FNP 3489 Issued in CA

Legal business name

SOUTH BAY OPTOMETRY, INC.

Practice address

3537 Torrance Blvd
Suite 18
Torrance, CA 90503-4818

Phone

(310) 543-3555

Fax

(310) 540-8363

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Albert K Chun, O.D.NPI 1952378010

Title

President

Phone

(310) 543-3555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Albert K. Chun, O.D.

  • Optometrist
  • Torrance, CA
  • NPI 1952378010
  Medicare reassignment Care Compare group NPD Authorized official
• Darin Hideaki Chun, OD

  • Optometrist
  • Torrance, CA
  • NPI 1760043863
  Medicare reassignment Care Compare group
• Lawrence Yu, O.D.

  • Optometrist
  • Torrance, CA
  • NPI 1861873861
  Medicare reassignment NPD
• Amanda Powers Havens, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1083901409
  NPD
• Connie Kim, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1073800686
  NPD (past)
• Karen Kay Hun Tang, O.D.

  • Optometrist
  • Torrance, CA
  • NPI 1992733786
  NPD (past)

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1285975458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 TORRANCE BLVD",
            "address_2": "SUITE 18",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034818",
            "telephone_number": "310-543-3555",
            "fax_number": "310-540-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 TORRANCE BLVD",
            "address_2": "SUITE 18",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034818",
            "telephone_number": "310-543-3555",
            "fax_number": "310-540-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-543-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "FNP 3489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay la Therapy: a Professional Clinical Counselor Corporation
• South Bay Medical Services Corporation
• South Bay Mind Clinic
• South Bay Neurology Medical Corporation
• South Bay Nikkei Pediatric Medical Group
• South Bay Orthopaedic Specialists Medical Center a Medical Partnership
• South Bay Otolaryngology Head and Neck Surgery a Medical Corporation
• South Bay Plastic Surgeons, Inc.
• South Bay Psychiatric Medical Group, Inc.
• South Bay Psychological Center

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.