Pooja Naik O D Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

POOJA NAIK O D INC

Practice address

12777 Valley View St Ste 111
Garden Grove, CA 92845-2521

Phone

(714) 229-1986

Fax

(714) 229-1994

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Pooja Naik, ODNPI 1073965232

Title

Optometrist/Owner

Phone

(562) 965-8424

Specialties & licenses 1

Addresses

Other names 1

• Forever Eyes Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Pooja Naik, O.D.

  • Optometrist
  • Orange, CA
  • NPI 1073965232
  Medicare reassignment NPD Authorized official
• Noemi Delagarza Larragoiti, OD

  • Optometrist
  • Cypress, CA
  • NPI 1982614038
  Medicare reassignment NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1720856461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 111",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452521",
            "telephone_number": "714-229-1986",
            "fax_number": "714-229-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 111",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452521",
            "telephone_number": "714-229-1986",
            "fax_number": "714-229-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOJA NAIK O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "562-965-8424",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forever Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teuila Poloa
• Erin Polzin
• Bryan Ponce
• Teresa Ponce
• Bryanna Nicole Pongraphan, BCABA
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• Jane Lois Porphir, MFT
• America Portillo
• Maria Florencia Portillo
• Santiago Portillo

• 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 Jan 16, 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.