Gene S. Mah, O.D., an Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GENE S. MAH, O.D., AN OPTOMETRY CORPORATION

Practice address

14501 Lakewood Blvd
Paramount, CA 90723-3601

Phone

(562) 602-2717

NPI assigned

Apr 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gene S Mah, OD

Title

Optometrist

Phone

(562) 602-2717

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508420290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 LAKEWOOD BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907233601",
            "telephone_number": "562-602-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 LAKEWOOD BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907233601",
            "telephone_number": "562-602-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE S. MAH, O.D., AN OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "562-602-2717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1811045701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

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