Organization Active NPI

Michael M.B

  • Primary Care Clinic/Center
  • Alhambra, CA
National Provider Identifier
1437952967
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MICHAEL M.B
Doing business as
Fremont Optometry Center
Practice address
2447 W Valley Blvd
Alhambra, CA 91803-1933
Phone
(626) 300-9251
Fax
(626) 300-8911
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Michael MB Ly, OD
Title
Owner
Phone
(626) 300-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2447 W Valley Blvd
Alhambra, CA 91803-1933

Mailing address

2447 W Valley Blvd
Alhambra, CA 91803-1933
Phone (626) 300-9251

Other names 1

  • Fremont Optometry Center Doing business as

National Provider Directory

National Provider Directory

Locations

2447 W Valley Blvd
Alhambra, CA 91803
Phone (626) 300-9251

Practitioners & affiliated clinicians

Practitioners 1

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1437952967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031933",
            "telephone_number": "626-300-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031933",
            "telephone_number": "626-300-9251",
            "fax_number": "626-300-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M.B",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-300-9251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Optometry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.