Organization Active NPI

Dr Bernard Levin Dr D H Duncan Dr Perry S Hom an Optometric Corp

Doing business as Covina Hills Optometric Group

  • Optometrist
  • Covina, CA
National Provider Identifier
1689661977
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR608 Issued in CA
Legal business name
DR BERNARD LEVIN DR D H DUNCAN DR PERRY S HOM AN OPTOMETRIC CORP
Doing business as
Covina Hills Optometric Group
Practice address
592 S Grand Ave
Covina, CA 91724-3467
Phone
(626) 331-6448
Fax
(626) 332-2515
NPI assigned
Oct 1, 2005
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Perry S Hom, ODNPI 1598752883
Title
President / Owner
Phone
(626) 331-6448

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
Optometrist 152W00000X COR608 CA Primary

Addresses

Primary practice location

592 S Grand Ave
Covina, CA 91724-3467

Mailing address

592 S Grand Ave
Covina, CA 91724-3467
Phone (626) 331-6448

Other identifiers 1

IdentifierTypeStateIssuer
9031126MedicaidCA

Other names 1

  • Covina Hills Optometric Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100503000286 CA Part B Supplier - Clinic/Group Practice 9931144078 Receives reassigned benefits from 2 practitioners
Practice locations: Covina, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1128124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1689661977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 S GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243467",
            "telephone_number": "626-331-6448",
            "fax_number": "626-332-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 S GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243467",
            "telephone_number": "626-331-6448",
            "fax_number": "626-332-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BERNARD LEVIN DR D H DUNCAN DR PERRY S HOM AN OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-01",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "626-331-6448",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9031126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covina Hills Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.