Individual provider Active NPI

Lawrence Wei Tseng, OD

  • Optometrist
  • Fontana, CA
National Provider Identifier
1679071930
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33876TLG Issued in CA
Practice address
17264 Foothill Blvd Ste E
Fontana, CA 92335-9051
Phone
(909) 355-8883
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33876TLG CA Primary

Addresses

Primary practice location

17264 Foothill Blvd Ste E
Fontana, CA 92335-9051

Mailing address

15680 Dill LN
Fontana, CA 92335-5482
Phone (626) 226-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317000793 CA Practitioner - Optometry 2163850686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chino Hills Optometry IncGroup PAC ID 9830448745, 3 clinicians

Practice addresses (Care Compare)

4200 Chino Hills Pkwy
Suite 390
Chino Hills, CA 91709-5825
Phone (909) 393-9058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33876CAMDMarriage & Family Therapist
33876TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Valley Optometry Inc Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Norco Valley Optometry, Inc Optometrist CurrentSince May 11, 2026 Accepting new patients
Chino Hills Optometry Inc Optometrist CurrentSince Nov 1, 2019 Accepting new patients

Locations

4200 Chino Hills Pkwy
Ste 390
Chino Hills, CA 91709
Phone (909) 393-9058

7056 Archibald Ave
Ste 107
Eastvale, CA 92880
Phone (951) 898-8508

1524 4th St
Ste 101
Norco, CA 92860
Phone (714) 771-1213

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1679071930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 DILL LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923355482",
            "telephone_number": "626-226-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17264 FOOTHILL BLVD STE E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923359051",
            "telephone_number": "909-355-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSENG",
        "first_name": "LAWRENCE",
        "middle_name": "WEI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33876TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.