NPIMap

Organization Active NPI

K & L Optometric Group Inc

  • Optometrist
  • Glendora, CA
National Provider Identifier
1316474547
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14735TLG Issued in CA
Legal business name
K & L OPTOMETRIC GROUP INC
Practice address
1301 S Lone Hill Ave
Glendora, CA 91740-5348
Phone
(909) 394-7759
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Authorized official

Name
Limm Lam, ODNPI 1548673486
Title
Vice President
Phone
(323) 484-4564

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14843TLG CA
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14735TLG CA Primary

Addresses

Primary practice location

1301 S Lone Hill Ave
Glendora, CA 91740-5348

Mailing address

1311 Solano Cir
Montebello, CA 90640-3236

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1316474547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SOLANO CIR",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S LONE HILL AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405348",
            "telephone_number": "909-394-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & L OPTOMETRIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "LIMM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-484-4564",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14843TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14735TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.