NPIMap

Organization Active NPI

Diamond Vision Optometry Associates and GTC Optometry

  • Low Vision Rehabilitation Optometrist
  • Pasadena, CA
National Provider Identifier
1336789296
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
DIAMOND VISION OPTOMETRY ASSOCIATES AND GTC OPTOMETRY
Practice address
350 S Lake Ave Ste 111
Pasadena, CA 91101-3553
Phone
(626) 683-6868
Fax
(626) 782-6162
NPI assigned
Jan 8, 2020
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Dr. Grace Tran CHI, ODNPI 1366607558
Title
Optometrist
Phone
(626) 683-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Low Vision Rehabilitation Optometrist 152WL0500X NU Primary

Addresses

Primary practice location

350 S Lake Ave Ste 111
Pasadena, CA 91101-3553

Mailing address

350 S Lake Ave Ste 111
Pasadena, CA 91101-3553
Phone (626) 683-6868

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1336789296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S LAKE AVE STE 111",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013553",
            "telephone_number": "626-683-6868",
            "fax_number": "626-782-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S LAKE AVE STE 111",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013553",
            "telephone_number": "626-683-6868",
            "fax_number": "626-782-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND VISION OPTOMETRY ASSOCIATES AND GTC OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-683-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.