Organization Active NPI

Alejandro M. Arredondo, O. D. Optometric Corporation

  • Optometrist
  • Maywood, CA
National Provider Identifier
1679005607
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 8658 TPG Issued in CA
Legal business name
ALEJANDRO M. ARREDONDO, O. D. OPTOMETRIC CORPORATION
Practice address
4349 Slauson Ave Ste a
Maywood, CA 90270-3802
Phone
(323) 581-0117
Fax
(323) 562-4445
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Alejandro M Arredondo, O.D.NPI 1467594093
Title
President
Phone
(323) 581-0117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 8658 TPG CA Primary

Addresses

Primary practice location

4349 Slauson Ave Ste a
Maywood, CA 90270-3802

Mailing address

4349 Slauson Ave Ste a
Maywood, CA 90270-3802
Phone (323) 581-0117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1679005607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 SLAUSON AVE STE A",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703802",
            "telephone_number": "323-581-0117",
            "fax_number": "323-562-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 SLAUSON AVE STE A",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703802",
            "telephone_number": "323-581-0117",
            "fax_number": "323-562-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO M. ARREDONDO, O. D. OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-581-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8658 TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.