Family Optometry of Walnut, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10557TPL Issued in CA

Legal business name

FAMILY OPTOMETRY OF WALNUT, INC.

Practice address

358 N Lemon Ave
Walnut, CA 91789-2345

Phone

(909) 869-9448

Fax

(909) 869-9354

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lieu Ton, O.D.NPI 1023009693

Title

President

Phone

(909) 869-9448

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lieu That Ton, OD

  • Optometrist
  • Walnut, CA
  • NPI 1023009693
  NPD (past) Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699780379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892345",
            "telephone_number": "909-869-9448",
            "fax_number": "909-869-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892345",
            "telephone_number": "909-869-9448",
            "fax_number": "909-869-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTOMETRY OF WALNUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TON",
        "authorized_official_first_name": "LIEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-869-9448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10557TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Walnut, CA
• Providers in Walnut, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.