Organization Active NPI

Optica Optometry Vision Center

  • Optometrist
  • Paramount, CA
National Provider Identifier
1588469167
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTICA OPTOMETRY VISION CENTER
Practice address
16259 Paramount Blvd Unit B
Paramount, CA 90723-5425
Phone
(424) 529-6645
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Dr. Tariq Tahir Khraishi, ODNPI 1205878634
Title
Owner/Optometrist
Phone
(310) 864-9323

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16259 Paramount Blvd Unit B
Paramount, CA 90723-5425

Mailing address

16259 Paramount Blvd Unit B
Paramount, CA 90723-5425
Phone (424) 529-6645

Other practice location 1

4700 Cherry Ave
Long Beach, CA 90807-1805
Phone (562) 855-3800

National Provider Directory

National Provider Directory

Locations

4700 Cherry Ave
Long Beach, CA 90807
Phone (562) 855-3800

16259 Paramount Blvd
Unit B
Paramount, CA 90723
Phone (424) 529-6645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1588469167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 PARAMOUNT BLVD UNIT B",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235425",
            "telephone_number": "424-529-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 PARAMOUNT BLVD UNIT B",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235425",
            "telephone_number": "424-529-6645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Cherry Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908071805",
            "country_code": "US",
            "telephone_number": "562-855-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTICA OPTOMETRY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "KHRAISHI",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_middle_name": "TAHIR",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "310-864-9323",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.