Paul T. Woo Optometric Corporation

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

CA8905T Issued in CA

Legal business name

PAUL T. WOO OPTOMETRIC CORPORATION

Practice address

1234 S Garfield Ave Ste 105
Alhambra, CA 91801-5068

Phone

(626) 282-5388

Fax

(626) 282-3667

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Paul T. Woo, O.D.NPI 1134198930

Title

President

Phone

(626) 282-5388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 1234 Eyecare Clinic and Optometric Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Paul T. Woo, O.D.

  • Corneal and Contact Management Optometrist
  • Alhambra, CA
  • NPI 1134198930

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1639439730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S GARFIELD AVE STE 105",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015068",
            "telephone_number": "626-282-5388",
            "fax_number": "626-282-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S GARFIELD AVE STE 105",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015068",
            "telephone_number": "626-282-5388",
            "fax_number": "626-282-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T. WOO OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-282-5388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "CA8905T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD 0089050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1234 Eyecare Clinic and Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Optometrist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Pediatric Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.