Active NPI
Sheldon M. Golden OD, Optometric Corporation
- Optometrist
- West Covina, CA
National Provider Identifier
1649216672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8726
- 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 CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD001880 | Medicaid | CA | |
| 1649216672 | Medicaid | CA |
Other names 1
- Golden Optometric Group
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.