Individual provider Active NPI

Marian P. Cho-Ikeda, O.D.

  • Optometrist
  • Bellflower, CA
National Provider Identifier
1316983604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7756T Issued in CA
Practice address
16816 Clark Ave
Bellflower, CA 90706-5702
Phone
(562) 925-6591
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7756T CA Primary

Addresses

Primary practice location

16816 Clark Ave
Bellflower, CA 90706-5702

Mailing address

16816 Clark Avenue
Bellflower, CA 90706-5793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7756CAMDPsychologist
7756TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Medical PC Optometrist PastSince Jan 1, 2022 Accepting new patients
Optometric Vision Care Associates Inc Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316983604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16816 CLARK AVENUE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16816 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065702",
            "telephone_number": "562-925-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO-IKEDA",
        "first_name": "MARIAN",
        "middle_name": "P.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7756T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.