Active NPI
Stanley Hidetoshi Doi, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1649203613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5515T
- Practice address
- 4939 Whittier Blvd
Los Angeles, CA 90022-3114 - Phone
- (323) 262-1183
- Fax
- (323) 262-4401
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 5515T | CA | Primary |
Addresses
Primary practice location
4939 Whittier Blvd
Los Angeles, CA 90022-3114
Mailing address
11671 Moonridge Rd
Whittier, CA 90601-1781
Phone (562) 695-7474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3298 | Other | CA | MEDICAL EYE SERVICES, INC |
| SD0055150 | Other | CA | CALIFORNIA MEDI-CAL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5515T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649203613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11671 MOONRIDGE RD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906011781",
"telephone_number": "562-695-7474",
"fax_number": "323-262-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4939 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900223114",
"telephone_number": "323-262-1183",
"fax_number": "323-262-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOI",
"first_name": "STANLEY",
"middle_name": "HIDETOSHI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5515T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES, INC",
"identifier": "3298",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDI-CAL",
"identifier": "SD0055150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.