Organization Active NPI

Olympic Optometric Center, Inc., a Professional Corporation

  • Optometrist
  • Paramount, CA
National Provider Identifier
1417090606
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OLYMPIC OPTOMETRIC CENTER, INC., A PROFESSIONAL CORPORATION
Practice address
16444 Paramount Blvd
Suite 206
Paramount, CA 90723-5422
Phone
(323) 732-8111
Fax
(323) 638-2934
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Dr. Lorie J. Kook, O.D.
Title
President
Phone
(323) 732-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16444 Paramount Blvd
Suite 206
Paramount, CA 90723-5422

Mailing address

16444 Paramount Blvd.
Ste. 206
Paramount, CA 90723-5454
Phone (323) 732-8111

National Provider Directory

National Provider Directory

Locations

16444 Paramount Blvd
Ste 206
Paramount, CA 90723
Phone (323) 870-3193

Practitioners & affiliated clinicians

Practitioners 2

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1417090606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD.",
            "address_2": "STE. 206",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235454",
            "telephone_number": "323-732-8111",
            "fax_number": "323-638-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD",
            "address_2": "SUITE 206",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235422",
            "telephone_number": "323-732-8111",
            "fax_number": "323-638-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC OPTOMETRIC CENTER, INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "KOOK",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-732-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.