Park Avenue Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 12788 Issued in CA

Legal business name

PARK AVENUE OPTOMETRY INC

Practice address

648 N Park Ave
Pomona, CA 91768-3621

Phone

(909) 622-3531

Fax

(909) 622-4897

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rudolph Garcia Alanis, O.D.

Title

President

Phone

(909) 622-3531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1508018748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683621",
            "telephone_number": "909-622-3531",
            "fax_number": "909-622-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683621",
            "telephone_number": "909-622-3531",
            "fax_number": "909-622-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "ALANIS",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-622-3531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor L Pappoe, MD
• Katelyn Pardon Arrant, DO
• Mehul Parekh, B.A.
• Gaurav R Parikh, MD
• Park Avenue Family Dentistry
• James Park, LCSW
• Janice Hyan Park
• John Jongcheol Park, DDS
• Joseph Park, DPM
• Judith Y Park, PHARM.D.

• Optometrist in Pomona, CA
• Providers in Pomona, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.