20 20 Optical

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

8774 Issued in CA

Legal business name

20 20 OPTICAL

Practice address

14721 Prairie Ave
Lawndale, CA 90260-1831

Phone

(310) 678-1158

Fax

(310) 679-0289

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Aura Violeta Garcia

Title

Owner

Phone

(310) 679-1158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1376783860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14721 PRAIRIE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601831",
            "telephone_number": "310-679-1158",
            "fax_number": "310-679-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14721 PRAIRIE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601831",
            "telephone_number": "310-678-1158",
            "fax_number": "310-679-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20 20 OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "AURA",
        "authorized_official_middle_name": "VIOLETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-679-1158",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "8774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.