Organization Active NPI

Loren D Smith OD Inc

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1538150396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07354T Issued in CA
Legal business name
LOREN D SMITH OD INC
Practice address
11502 S Vermont Ave
Los Angeles, CA 90044-6522
Phone
(323) 756-3937
Fax
(323) 756-3938
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Loren Donnell Smith, OD (OCULUS DOCTOR)
Title
Pres/Coo
Phone
(323) 756-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 07354T CA Primary

Addresses

Primary practice location

11502 S Vermont Ave
Los Angeles, CA 90044-6522

Mailing address

11502 S Vermont Ave
Los Angeles, CA 90044-6522
Phone (323) 756-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538150396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446522",
            "telephone_number": "323-756-3937",
            "fax_number": "323-756-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446522",
            "telephone_number": "323-756-3937",
            "fax_number": "323-756-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN D SMITH OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "DONNELL",
        "authorized_official_title_or_position": "PRES/COO",
        "authorized_official_telephone_number": "323-756-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD (OCULUS DOCTOR)"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07354T",
            "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 Aug 22, 2020; 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.