Active NPI
Effie Sen, O.D.
- Optometrist
- Diamond Bar, CA
National Provider Identifier
1417017385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12773TPA
- Practice address
- 1255 S Diamond Bar Blvd
Diamond Bar, CA 91765-4122 - Phone
- (909) 861-3737
- Fax
- (909) 396-7517
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12773TPA | CA | Primary |
Addresses
Primary practice location
1255 S Diamond Bar Blvd
Diamond Bar, CA 91765-4122
Mailing address
23641 Golden Springs Dr Unit 8C
Diamond Bar, CA 91765-2168
Phone (909) 861-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12773TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Bar Optometric Center Inc | Optometrist | Past | Accepting new patients |
| Dr. Kenneth Boyer, O.D., Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Diamond Bar, CA
- NPI 1811390610
-
- Optometrist
- La Verne, CA
- NPI 1316012834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417017385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23641 GOLDEN SPRINGS DR UNIT 8C",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652168",
"telephone_number": "909-861-3737",
"fax_number": "909-396-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S DIAMOND BAR BLVD",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654122",
"telephone_number": "909-861-3737",
"fax_number": "909-396-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEN",
"first_name": "EFFIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12773TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.