Corona Valley Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

011699T Issued in CA

Legal business name

CORONA VALLEY OPTOMETRY INC

Practice address

7056 Archibald Avenue
Ste 107
Corona, CA 92880-8714

Phone

(951) 898-8508

Fax

(951) 898-8487

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lucy P Lu, ODNPI 1821145459

Title

Ceo

Phone

(951) 898-8508

Specialties & licenses 1

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.

• Lucy P Lu, O.D.

  • Optometrist
  • Chino Hills, CA
  • NPI 1821145459
  Medicare reassignment NPD Authorized official
• Tiffany Pham, OD

  • Optometrist
  • Chino Hills, CA
  • NPI 1225790322
  Medicare reassignment NPD
• Derek Pi, OD

  • Optometrist
  • Chino Hills, CA
  • NPI 1215517396
  Medicare reassignment NPD
• Lawrence Wei Tseng, OD

  • Optometrist
  • Fontana, CA
  • NPI 1679071930
  Medicare reassignment NPD

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1295993103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVENUE",
            "address_2": "STE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928808714",
            "telephone_number": "951-898-8508",
            "fax_number": "951-898-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVENUE",
            "address_2": "STE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928808714",
            "telephone_number": "951-898-8508",
            "fax_number": "951-898-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA VALLEY OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-898-8508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "011699T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corona Surgery Institute, LLC
• Corona Surgical Anesthesia
• Corona Surgical Center Inc.
• Corona Surgical LLC
• Corona Trustcare Congregate Living Inc.
• Corona Vet Center
• Corona Vista Dental LLP
• Janis Lynn-Harris Corona, LMT
• Joanna Corona
• Yesenia G Corona

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.