Organization Active NPI

Allen Choi, O.D., a Professional Corporation

Doing business as Eye Tech Optometric Center

  • Optometrist
  • Buena Park, CA
National Provider Identifier
1629377692
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15393 Issued in CA
Legal business name
ALLEN CHOI, O.D., A PROFESSIONAL CORPORATION
Doing business as
Eye Tech Optometric Center
Practice address
5300 Beach Blvd Ste 114
Buena Park, CA 90621-1297
Phone
(714) 521-1133
Fax
(714) 521-1131
NPI assigned
Mar 16, 2011
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Dr. Allen Choi, ODNPI 1619352754
Title
Optometrist / President
Phone
(714) 521-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 15393 CA Primary

Addresses

Primary practice location

5300 Beach Blvd Ste 114
Buena Park, CA 90621-1297

Mailing address

5300 Beach Blvd Ste 114
Buena Park, CA 90621-1297
Phone (714) 521-1133

Other names 1

  • Eye Tech Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

5300 Beach Blvd
Ste 114
Buena Park, CA 90621
Phone (714) 521-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1629377692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BEACH BLVD STE 114",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211297",
            "telephone_number": "714-521-1133",
            "fax_number": "714-521-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BEACH BLVD STE 114",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211297",
            "telephone_number": "714-521-1133",
            "fax_number": "714-521-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN CHOI, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIST / PRESIDENT",
        "authorized_official_telephone_number": "714-521-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Tech Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.