Dr Shana Noble Aguilar OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12634T Issued in CA

Legal business name

DR SHANA NOBLE AGUILAR OD INC

Practice address

5138 Imperial Hwy
Lynwood, CA 90262

Phone

(310) 638-3800

Fax

(310) 638-3833

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shana Noble Aguilar, ODNPI 1467545590

Title

Owner President of Corporation

Phone

(562) 822-9333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shana Noble Aguilar, O.D.

  • Optometrist
  • Lakewood, CA
  • NPI 1467545590
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447398953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-638-3800",
            "fax_number": "310-638-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-638-3800",
            "fax_number": "310-638-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHANA NOBLE AGUILAR OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "NOBLE",
        "authorized_official_title_or_position": "OWNER PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "562-822-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12634T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Dominguez
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• Optometrist in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.