Pacific Optometry Group, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11249T Issued in CA

Legal business name

PACIFIC OPTOMETRY GROUP, INC

Practice address

12302 Garden Grove Blvd
Suite 6
Garden Grove, CA 92843-1835

Phone

(714) 590-2020

Fax

(714) 590-2044

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sally Huong Dang, O.D.NPI 1710091491

Title

Owner

Phone

(714) 590-2020

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pacific Optometry Group

  • Optometrist
  • Westminster, CA
  • NPI 1235311473
  NPPES parent name

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.

• Sally H Dang, OD

  • Optometrist
  • Garden Grove, CA
  • NPI 1710091491
  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1669595724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD",
            "address_2": "SUITE 6",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431835",
            "telephone_number": "714-590-2020",
            "fax_number": "714-590-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD",
            "address_2": "SUITE 6",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431835",
            "telephone_number": "714-590-2020",
            "fax_number": "714-590-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OPTOMETRY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "HUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-590-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11249T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pace- UC Irvine Health, Internal Medicine
• Karina Pacheco
• Myra Pacheco
• Pacific Diagnostics
• Pacific DX Idtf
• Pacita M Braza, Inc.
• Scarlett Angelica Packer
• Pacorpnation
• Gillian Neille Salazar Paderogo
• Gloria Padilla Casillas, CHW

• Optometrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.