Active NPI
Emily K So, O.D.
- Optometrist
- Rowland Heights, CA
National Provider Identifier
1619295334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TLG13859
- Practice address
- 17833 Colima Rd
Rowland Heights, CA 91748-1729 - Phone
- (626) 964-7764
- Fax
- (626) 913-2910
- NPI assigned
- May 5, 2010
- Last updated
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 | TLG13859 | CA | Primary |
Addresses
Primary practice location
17833 Colima Rd
Rowland Heights, CA 91748-1729
Mailing address
301 W. Huntington Dr.
Suite #107
Arcadia, CA 91007-3400
Phone (626) 574-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13859 | CA | MD | Chiropractor |
| TLG13859 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Ocular Institute of California, a Medical Corporation | Past | Accepting new patients | |
| Ocular Institute of California, a Medical Corporation | Past | Accepting new patients | |
| Emanate Health Foothill Presbyterian Hospital | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Foothill Presbyterian Hospital
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
dba LaserPro Eye Laser Medical Center
- Specialist
- City of Industry, CA
- NPI 1518132596
-
dba LaserPro Eye Laser Medical Center, Inc.
- Ophthalmology Physician
- Rosemead, CA
- NPI 1922164433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1619295334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W. HUNTINGTON DR.",
"address_2": "SUITE #107",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073400",
"telephone_number": "626-574-0022",
"fax_number": "626-574-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17833 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917481729",
"telephone_number": "626-964-7764",
"fax_number": "626-913-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SO",
"first_name": "EMILY",
"middle_name": "K",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "TLG13859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.