Organization Active NPI

Sheldon M. Golden OD, Optometric Corporation

  • Optometrist
  • West Covina, CA
National Provider Identifier
1649216672
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8726 Issued in CA
Legal business name
SHELDON M. GOLDEN OD, OPTOMETRIC CORPORATION
Practice address
1026 W West Covina Pkwy Ste B
West Covina, CA 91790-2810
Phone
(626) 962-5868
Fax
(626) 856-0570
NPI assigned
Jun 20, 2006
Organization subpart
Yes
Parent organization
SHELDON M. GOLDEN OD,OPTOMETRIC CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Carol Moore
Title
Insurance Administrator
Phone
(626) 962-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8726 CA Primary

Addresses

Primary practice location

1026 W West Covina Pkwy Ste B
West Covina, CA 91790-2810

Mailing address

1026 W West Covina Pkwy Ste B
West Covina, CA 91790-2810
Phone (626) 962-5868

Other identifiers 2

IdentifierTypeStateIssuer
GSD001880MedicaidCA
1649216672MedicaidCA

Other names 1

  • Golden Optometric Group Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address westcovina@myeyedoc.info
Direct Messaging Address westcovina@myeyedoc.info

National Provider Directory

National Provider Directory
Part of
Sheldon M Golden OD

Locations

1558 PLZ Dr
West Covina, CA 91790
Phone (626) 962-5868

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1649216672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W WEST COVINA PKWY STE B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902810",
            "telephone_number": "626-962-5868",
            "fax_number": "626-856-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W WEST COVINA PKWY STE B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902810",
            "telephone_number": "626-962-5868",
            "fax_number": "626-856-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON M. GOLDEN OD, OPTOMETRIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELDON M. GOLDEN OD,OPTOMETRIC CORPORATION",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "626-962-5868"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001880",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649216672",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "westcovina@myeyedoc.info",
            "affiliation": "N",
            "address_1": "1026 W West Covina Pkwy Ste B",
            "city": "West Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917902810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "westcovina@myeyedoc.info",
            "affiliation": "N",
            "address_1": "1026 W West Covina Pkwy Ste B",
            "city": "West Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917902810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Golden Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

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