New Insight Optometric Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10265T Issued in CA

Legal business name

NEW INSIGHT OPTOMETRIC CENTER, INC.

Practice address

541 W Valley Blvd
San Gabriel, CA 91776-3730

Phone

(626) 289-8868

Fax

(626) 289-9338

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Garry D Chan, O.D.NPI 1922216373

Title

President

Phone

(626) 289-8868

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

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

• Garry D Chan, O.D.

  • Optometrist
  • San Gabriel, CA
  • NPI 1922216373
  Medicare reassignment NPD Authorized official
• Linda Chau, O.D.

  • Optometrist
  • Fresno, CA
  • NPI 1710296488
  Medicare reassignment NPD
• Dixon Wong, O.D.

  • Optometrist
  • Rialto, CA
  • NPI 1811196967
  NPD
• William Chang, OD

  • Optometrist
  • San Gabriel, CA
  • NPI 1629206834
  NPD (past)
• Tram Dang Nguyen, O.D.

  • Optometrist
  • West Covina, CA
  • NPI 1316196389
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609084086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763730",
            "telephone_number": "626-289-8868",
            "fax_number": "626-289-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763730",
            "telephone_number": "626-289-8868",
            "fax_number": "626-289-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW INSIGHT OPTOMETRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-289-8868",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10265T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.