Alice Eunchai Pang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13550 Issued in CA

Practice address

141 Lakewood Center Mall
Optometry Inside Target
Lakewood, CA 90712-2419

Phone

(562) 529-3298

NPI assigned

Jul 29, 2008

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tedder Optometric Corporation, PC

  • Optometrist
  • Lake Forest, CA
  • NPI 1679262158
  Medicare reassignment NPD
• Alice Pang, O.D., a Professional Corporation

  • Optometrist
  • Lakewood, CA
  • NPI 1699339127
  NPD Authorized official
• Hansra Optometric Corporation

  dba Visionworks

  • Eyewear Supplier
  • Sacramento, CA
  • NPI 1366258436
  NPD

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1629233754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LAKEWOOD CENTER MALL",
            "address_2": "OPTOMETRY INSIDE TARGET",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LAKEWOOD CENTER MALL",
            "address_2": "OPTOMETRY INSIDE TARGET",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122419",
            "telephone_number": "562-529-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "ALICE",
        "middle_name": "EUNCHAI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Palacios
• Leejoe K Pallickal, M.D.
• Haley Palomino
• Alan Palzer, DC
• George P Panagiotides, M.D., F.A.C.S.
• Jose L. Pantoja, M.D.
• Ashley Parbo, PA
• Esther C Park, O.D.
• Wendy J. Parker-Harris, D.D.S.
• Jacinto Parra, OTR/L

• Optometrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.

Verify at the official NPI Registry.