Organization Active NPI

Tay Vision Centers O.D. Inc

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1497528129
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TAY VISION CENTERS O.D. INC
Practice address
4433 S Alameda St Unit C12
Los Angeles, CA 90058-2008
Phone
(323) 988-1033
NPI assigned
Nov 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Michael Tay, ODNPI 1003530627
Title
Optometrist
Phone
(603) 867-2269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4433 S Alameda St Unit C12
Los Angeles, CA 90058-2008

Mailing address

4433 S Alameda St Unit C12
Los Angeles, CA 90058-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208000149 CA Part B Supplier - Clinic/Group Practice 4183067002 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

4433 S Alameda St
Unit C12
Los Angeles, CA 90058
Phone (323) 988-1033

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": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1497528129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 S ALAMEDA ST UNIT C12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900582008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 S ALAMEDA ST UNIT C12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900582008",
            "telephone_number": "323-988-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAY VISION CENTERS O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "TAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "603-867-2269",
        "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": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.