Organization Active NPI

Vision Master Optical

  • Eyewear Supplier
  • Monterey Park, CA
National Provider Identifier
1366830861
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
I26209 Issued in CA
Legal business name
VISION MASTER OPTICAL
Practice address
946 E Garvey Ave
Monterey Park, CA 91755
Phone
(626) 280-2882
Fax
(626) 228-2548
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Ms. Joanna Shao WongNPI 1134322712
Title
Owner
Phone
(626) 280-2882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X I26209 CA Primary

Addresses

Primary practice location

946 E Garvey Ave
Monterey Park, CA 91755

Mailing address

946 E Garvey Ave
Monterey Park, CA 91755
Phone (626) 280-2882

Other identifiers 1

IdentifierTypeStateIssuer
9155931MedicaidCA

National Provider Directory

National Provider Directory

Locations

946 E Garvey Ave
Monterey Park, CA 91755
Phone (626) 280-2882

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1366830861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 E GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91755",
            "telephone_number": "626-280-2882",
            "fax_number": "626-228-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E GARVEY AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91755",
            "telephone_number": "626-280-2882",
            "fax_number": "626-228-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION MASTER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "SHAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-280-2882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "I26209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9155931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.