Organization Active NPI

El Monte Optometry Inc

  • Optometrist
  • El Monte, CA
National Provider Identifier
1376633206
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR 783 Issued in CA
Legal business name
EL MONTE OPTOMETRY INC
Practice address
11230 Garvey Ave
Suite J
El Monte, CA 91733-2475
Phone
(626) 443-8226
Fax
(626) 443-9108
NPI assigned
Oct 13, 2006
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Cecilia Wong, ODNPI 1114017043
Title
Ceo
Phone
(626) 443-8226

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
Optometrist 152W00000X COR 783 CA Primary

Addresses

Primary practice location

11230 Garvey Ave
Suite J
El Monte, CA 91733-2475

Mailing address

11230 Garvey Ave
Suite J
El Monte, CA 91733-2475
Phone (626) 443-8226

Other identifiers 1

IdentifierTypeStateIssuer
SD0107920MedicaidCA

National Provider Directory

National Provider Directory

Locations

11230 Garvey Ave
Ste J
El Monte, CA 91733
Phone (626) 443-8226

2821 Peck Rd
Ste D
El Monte, CA 91733
Phone (626) 443-8226

Practitioners & affiliated clinicians

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1376633206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 GARVEY AVE",
            "address_2": "SUITE J",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332475",
            "telephone_number": "626-443-8226",
            "fax_number": "626-443-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 GARVEY AVE",
            "address_2": "SUITE J",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332475",
            "telephone_number": "626-443-8226",
            "fax_number": "626-443-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-443-8226",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0107920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.