Paulina T.Q. Han O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11057T Issued in CA

Legal business name

PAULINA T.Q. HAN O.D. INC.

Doing business as

Temple City Square Optometry

Practice address

5803 Rosemead Blvd
Temple City, CA 91780-1833

Phone

(626) 287-8505

Fax

(626) 287-2645

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Paulina T.Q. Han, O.D.NPI 1558382002

Title

President

Phone

(626) 287-8505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Temple City Square Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Paulina T.Q. Han, OD

  • Optometrist
  • Temple City, CA
  • NPI 1558382002
  Medicare reassignment Authorized official
• Tiffany Christine Kwong, OD

  • Optometrist
  • Temple City, CA
  • NPI 1003427469
  Medicare reassignment NPD
• Raina Cheung, O.D.

  • Optometrist
  • San Gabriel, CA
  • NPI 1184077828
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1326375213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 ROSEMEAD BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801833",
            "telephone_number": "626-287-8505",
            "fax_number": "626-287-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 ROSEMEAD BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801833",
            "telephone_number": "626-287-8505",
            "fax_number": "626-287-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINA T.Q. HAN O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "PAULINA",
        "authorized_official_middle_name": "T.Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-287-8505",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11057T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0110570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple City Square Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Temple City, CA
• Providers in Temple City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.