J & L Abo, Apc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11100T Issued in CA

Legal business name

J & L ABO, APC

Doing business as

Summit Optometric Center

Practice address

15290 Summit Ave.
Suite C
Fontana, CA 92336

Phone

(909) 646-9800

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Justin Tadashi Abo, O.D.

Title

President

Phone

(909) 646-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit Optometric Center Doing business as

Locations

Practitioners 1

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

• Lauren Akemi Abo, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1588654719
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336274844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15290 SUMMIT AVE.",
            "address_2": "SUITE C",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-646-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15290 SUMMIT AVE.",
            "address_2": "SUITE C",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-646-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & L ABO, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TADASHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-646-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11100T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "11100T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Issler, MD
• Guy Gen Ito, PHARMD.
• Aaron Iverson, CRNA
• Ivy Pharma Inc (Ivy Pharmacy)
• Eduardo Miguel Izquierdo, P.T.
• J&J Living Solutions, LLC
• Bette-Lee Jablow, MD
• David Jacaban
• Georgia Ann Jackson-Thompson, MA
• Jocelyn Renee Jackson

• Optometrist in Fontana, CA
• Providers in Fontana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.