Organization Active NPI

Garvey Optometry, Inc.

  • Optometrist
  • El Monte, CA
National Provider Identifier
1558550376
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11907T Issued in CA
Legal business name
GARVEY OPTOMETRY, INC.
Practice address
10012 Garvey Ave
Ste 12
El Monte, CA 91733-2083
Phone
(626) 401-0324
Fax
(626) 401-9224
NPI assigned
Oct 17, 2007
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Taylor Vuong Lam, O.D.NPI 1376617787
Title
Owner/Optometrist
Phone
(626) 401-0324

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
Optometrist 152W00000X 11907T CA Primary

Addresses

Primary practice location

10012 Garvey Ave
Ste 12
El Monte, CA 91733-2083

Mailing address

10012 Garvey Ave
Ste 12
El Monte, CA 91733-2083
Phone (626) 401-0324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090317000672 CA Part B Supplier - Clinic/Group Practice 8628135779 Receives reassigned benefits from 1 practitioner
Practice locations: El Monte, CA

National Provider Directory

National Provider Directory

Locations

10012 Garvey Ave
Ste 12
El Monte, CA 91733
Phone (626) 401-0324

Practitioners & affiliated clinicians

Practitioners 2

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1558550376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 GARVEY AVE",
            "address_2": "STE 12",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332083",
            "telephone_number": "626-401-0324",
            "fax_number": "626-401-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 GARVEY AVE",
            "address_2": "STE 12",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332083",
            "telephone_number": "626-401-0324",
            "fax_number": "626-401-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVEY OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "VUONG",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "626-401-0324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11907T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.