NPIMap

Organization Active NPI

Anna M Pennino OD Optometric Corp

Doing business as Del Rey Optometry

  • Optometrist
  • Playa del Rey, CA
National Provider Identifier
1356589741
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9996T Issued in CA
Legal business name
ANNA M PENNINO OD OPTOMETRIC CORP
Doing business as
Del Rey Optometry
Practice address
8511 Pershing Dr
Playa del Rey, CA 90293-8101
Phone
(310) 577-6401
Fax
(310) 577-6403
NPI assigned
Jan 23, 2009
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Anna M Pennino, O.D.NPI 1962495408
Title
President/Owner
Phone
(310) 577-6401

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9996T CA Primary

Addresses

Primary practice location

8511 Pershing Dr
Playa del Rey, CA 90293-8101

Mailing address

8511 Pershing Dr
Playa del Rey, CA 90293-8101
Phone (310) 577-6401

Other names 1

  • Del Rey Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

8511 Pershing Dr
#M
Playa del Rey, CA 90293
Phone (626) 962-5868

8511 Pershing Dr
Playa del Rey, CA 90293
Phone (310) 577-6401

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": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1356589741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 PERSHING DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938101",
            "telephone_number": "310-577-6401",
            "fax_number": "310-577-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 PERSHING DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938101",
            "telephone_number": "310-577-6401",
            "fax_number": "310-577-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA M PENNINO OD OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PENNINO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-577-6401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9996T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Rey Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.