NPIMap

Organization Active NPI

Atheni Yang Dba Fullerton Eye Center Optical

Doing business as Fullerton Eye Center Optical

  • Eyewear Supplier
  • Fullerton, CA
National Provider Identifier
1467884882
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
9499T Issued in CA
Legal business name
ATHENI YANG DBA FULLERTON EYE CENTER OPTICAL
Doing business as
Fullerton Eye Center Optical
Practice address
1321 N Harbor Blvd
Suite 301
Fullerton, CA 92835-4124
Phone
(714) 879-0630
Fax
(714) 526-2020
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Atheni Yang, O.D.NPI 1417177221
Title
Owner/Optometrist
Phone
(714) 879-0630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 9499T CA Primary

Addresses

Primary practice location

1321 N Harbor Blvd
Suite 301
Fullerton, CA 92835-4124

Mailing address

1321 N Harbor Blvd
Suite 301
Fullerton, CA 92835-4124
Phone (714) 879-0630

Other names 1

  • Fullerton Eye Center Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1321 N Harbor Blvd
Ste 301
Fullerton, CA 92835
Phone (714) 879-0630

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1467884882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 301",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354124",
            "telephone_number": "714-879-0630",
            "fax_number": "714-526-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD",
            "address_2": "SUITE 301",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354124",
            "telephone_number": "714-879-0630",
            "fax_number": "714-526-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENI YANG DBA FULLERTON EYE CENTER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ATHENI",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "714-879-0630",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "9499T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton Eye Center Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.