Organization Active NPI

Judy Cao, OD, Inc

Doing business as Vizen Optometric Center

  • Vision Therapy Optometrist
  • San Gabriel, CA
National Provider Identifier
1558848986
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
JUDY CAO, OD, INC
Doing business as
Vizen Optometric Center
Practice address
360 E Las Tunas Dr Unit 203
San Gabriel, CA 91776-1502
Phone
(626) 239-5332
NPI assigned
Jul 27, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Judy Cao, OD
Title
Optometrist
Phone
(626) 239-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X Primary

Addresses

Primary practice location

360 E Las Tunas Dr Unit 203
San Gabriel, CA 91776-1502

Mailing address

1021 S Pine St
San Gabriel, CA 91776-3136
Phone (626) 239-5332

Other identifiers 1

IdentifierTypeStateIssuer
1396153508MedicaidCA

Other names 1

  • Vizen Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

360 E Las Tunas Dr
Ste 203
San Gabriel, CA 91776
Phone (626) 239-5332

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1558848986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S PINE ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763136",
            "telephone_number": "626-239-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E LAS TUNAS DR UNIT 203",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761502",
            "telephone_number": "626-239-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY CAO, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-239-5332",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396153508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vizen Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.