Active NPI
Eye People Optometry, Inc.
- Optometrist
- Montebello, CA
National Provider Identifier
1396259669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15317TLG
- Legal business name
- EYE PEOPLE OPTOMETRY, INC.
- Practice address
- 2156 Montebello Town Ctr
Montebello, CA 90640-2170 - Phone
- (323) 720-1600
- NPI assigned
- Nov 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Khem, OD
- Title
- Ceo
- Phone
- (424) 346-2845
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15317TLG | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 15317TLG | CA | |
| Pediatric Optometrist | 152WP0200X | 15317TLG | CA |
Addresses
Primary practice location
2156 Montebello Town Ctr
Montebello, CA 90640-2170
Mailing address
2156 Montebello Town Ctr
Montebello, CA 90640-2170
Phone (323) 720-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2156 Montebello Town Ctr
Montebello, CA 90640
Phone (323) 720-1600
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Montebello, CA
- NPI 1023423548
-
- Optometrist
- Montebello, CA
- NPI 1033940341
-
- Optometrist
- Pomona, CA
- NPI 1801226998
-
- Optometrist
- Montebello, CA
- NPI 1407418304
-
- Optometrist
- Montebello, CA
- NPI 1558856971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563148800000",
"number": "1396259669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2156 MONTEBELLO TOWN CTR",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402170",
"telephone_number": "323-720-1600",
"fax_number": "323-278-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2156 MONTEBELLO TOWN CTR",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402170",
"telephone_number": "323-720-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE PEOPLE OPTOMETRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-25",
"last_updated": "2019-07-15",
"status": "A",
"authorized_official_last_name": "KHEM",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-346-2845",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "15317TLG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "15317TLG",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "15317TLG",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
- Michael James Espinoza
- Amiah Estrada, APCC
- Edward Paul Estrada, PAC
- Danielle Peterson Eves, MD
- Experience Acupuncture Professional Corporation
- Eyecare Specialists Medical Group, Inc
- Eyecare Specialists Medical Group, Inc
- Families First Medical Group Inc.
- Family Care Specialists Medical Corporation
- Family Health Care Centers of Greater Los Angeles, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.