Eyes on PCH Optometry a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYES ON PCH OPTOMETRY A PROFESSIONAL CORPORATION

Practice address

630 N Pacific Coast Hwy Ste 8a
El Segundo, CA 90245-3436

Phone

(310) 565-2811

Fax

(310) 695-1520

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Choi, ODNPI 1891117008

Title

Optometrist/Owner

Phone

(714) 837-3555

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.

• Jennifer Lynn Choi, O.D., M.S.

  • Optometrist
  • Marina del Rey, CA
  • NPI 1891117008
  NPD (past) Authorized official

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1457993404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18697 FAIRFAX LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926487018",
            "telephone_number": "714-837-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N PACIFIC COAST HWY STE 8A",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453436",
            "telephone_number": "310-565-2811",
            "fax_number": "310-695-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15520 Goldenwest St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926472752",
            "country_code": "US",
            "telephone_number": "657-666-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYES ON PCH OPTOMETRY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "714-837-3555",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.