Italee Optometric Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OPT9019TPA Issued in CA

Legal business name

ITALEE OPTOMETRIC CENTER, INC.

Practice address

978 S Vermont Ave
Los Angeles, CA 90006-1611

Phone

(213) 385-1656

Fax

(213) 385-8700

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Song

Title

Executive Vice President

Phone

(213) 736-0205

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jee Y Kim, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1245423243
  NPD (past)
• Nicole J NA, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1922412063
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1326357922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061611",
            "telephone_number": "213-385-1656",
            "fax_number": "213-385-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061611",
            "telephone_number": "213-385-1656",
            "fax_number": "213-385-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITALEE OPTOMETRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "213-736-0205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "OPT9019TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Istvan-Wood, RN
• Cynthia Jane Isveck-Bosco
• It Starts With a Thought
• Brandon Ken Itagaki, M.D.
• Brian Hiro Itagaki, MD
• Italee Optometric Center, Inc.
• Joya Mia Italiano, AMFT, APCC
• Julia Linn Itamura, D.P.T.
• Kyohei Itamura
• Shaker Itani, M.D.

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.