Individual provider Active NPI

Sierra Kanami Lo, OD

  • Optometrist
  • Glendora, CA
National Provider Identifier
1730972571
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35960TLG Issued in CA
Practice address
451 W Foothill Blvd
Glendora, CA 91741-3363
Phone
(626) 912-3937
NPI assigned
May 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 35960TLG CA Primary

Addresses

Primary practice location

451 W Foothill Blvd
Glendora, CA 91741-3363

Mailing address

451 W Foothill Blvd
Glendora, CA 91741-3363
Phone (626) 733-1827

Other practice location 1

17110 Colima Rd Ste F
Hacienda Heights, CA 91745-6786
Phone (626) 912-3937

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
I20250723001411 CA Practitioner - Optometry 5496261166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suzan Burmayan OD a Professional CorporationGroup PAC ID 1456891712, 2 clinicians

Practice addresses (Care Compare)

120 W Bonita Ave
Suite a
San Dimas, CA 91773-5000
Phone (909) 599-1100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Garratt OD Inc Optometrist CurrentSince Sep 10, 2025 Accepting new patients
Optika Optometrics Optometrist CurrentSince Jun 17, 2025 Accepting new patients
Suzan Burmayan, O.D., a Professional Corporation Optometrist CurrentSince Sep 10, 2025 Accepting new patients
Optika Optometrics Optometrist CurrentSince May 25, 2025 Accepting new patients
Alvin Lo Optometry Optometrist PastSince May 25, 2025 Accepting new patients

Locations

17134 Colima Rd
Ste Bc
Hacienda Heights, CA 91745
Phone (626) 912-3937

120 W Bonita Ave
Ste A
San Dimas, CA 91773
Phone (909) 599-1100

Organizations & group practices 5

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": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1730972571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413363",
            "telephone_number": "626-733-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413363",
            "telephone_number": "626-912-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17110 Colima Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Hacienda Heights",
            "state": "CA",
            "postal_code": "917456786",
            "country_code": "US",
            "telephone_number": "626-912-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "SIERRA",
        "middle_name": "KANAMI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-24",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35960TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.