Active NPI
Judy Cao, OD, Inc
Doing business as Vizen Optometric Center
- Vision Therapy Optometrist
- San Gabriel, CA
National Provider Identifier
1558848986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396153508 | Medicaid | CA |
Other names 1
- Vizen Optometric Center
National Provider Directory
National Provider DirectoryLocations
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.