Organization Active NPI

Artesia I Care Optometry

  • Optometrist
  • Artesia, CA
National Provider Identifier
1306235387
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5286 T Issued in CA
Legal business name
ARTESIA I CARE OPTOMETRY
Practice address
11436 Artesia Blvd Ste D
Artesia, CA 90701-3859
Phone
(562) 860-1717
NPI assigned
Jan 14, 2015
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. Ken Imoto, O.D.NPI 1043395999
Title
Owner/Optometrist
Phone
(562) 860-1717

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 5286 T CA Primary

Addresses

Primary practice location

11436 Artesia Blvd Ste D
Artesia, CA 90701-3859

Mailing address

11436 Artesia Blvd Ste D
Artesia, CA 90701-3859
Phone (562) 860-1717

National Provider Directory

National Provider Directory

Locations

11436 Artesia Blvd
Ste D
Artesia, CA 90701
Phone (562) 860-1717

Practitioners & affiliated clinicians

Practitioners 2

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": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1306235387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11436 ARTESIA BLVD STE D",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013859",
            "telephone_number": "562-860-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11436 ARTESIA BLVD STE D",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013859",
            "telephone_number": "562-860-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTESIA I CARE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "IMOTO",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "562-860-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5286 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.