Active NPI
Laura Leticia Garnica, OD
- Optometrist
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34798
- Practice address
- 1120 S Mount Vernon Ave
Colton, CA 92324-4220 - Phone
- (909) 783-4850
- NPI assigned
- Apr 29, 2021
- Last updated
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34798 | CA | Primary |
Addresses
Primary practice location
1120 S Mount Vernon Ave
Colton, CA 92324-4220
Mailing address
12767 Bridgewater Dr
Eastvale, CA 92880-8848
Other practice location 1
15740 Whittwood Ln
Whittier, CA 90603-2326
Phone (562) 943-0118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garnica Optometry | Optometrist | Current | Accepting new patients |
| Garnica Optometric Group, PC | Optometrist | Current | Accepting new patients |
| Tedder Optometric Clinic Management, P.C. | Optometrist | Current | Accepting new patients |
| Usv Optical Inc | Past | Accepting new patients | |
| Tedder Optometry Group, PC | Optometrist | Past | Accepting new patients |
| Usv Optical Inc | Optometrist | Past | Accepting new patients |
Locations
1120 S Mount Vernon Ave
Colton, CA 92324
Phone (909) 783-0390
15268 Summit Ave
Ste 300
Fontana, CA 92336
Phone (909) 279-2424
17064 Slover Ave
Ste 104
Fontana, CA 92337
Phone (909) 258-4380
530 New Los Angeles Ave
Ste 115269
Moorpark, CA 93021
Phone (805) 624-1255
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Fontana, CA
- NPI 1851091805
-
dba Jurupa Valley Optometry
- Optometrist
- Jurupa Valley, CA
- NPI 1831045624
-
- Optometrist
- Colton, CA
- NPI 1396439162
-
- Optometrist
- San Dimas, CA
- NPI 1184484222
-
- Eyewear Supplier
- Whittier, CA
- NPI 1013938000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1598348468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12767 BRIDGEWATER DR",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928808848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S MOUNT VERNON AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923244220",
"telephone_number": "909-783-4850"
}
],
"practiceLocations": [
{
"address_1": "15740 Whittwood Ln",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906032326",
"country_code": "US",
"telephone_number": "562-943-0118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARNICA",
"first_name": "LAURA",
"middle_name": "LETICIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.