Organization Active NPI

Esther L. Ahn Optometric Professional Corporation

  • Optometrist
  • Cerritos, CA
National Provider Identifier
1740408822
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11854T Issued in CA
Legal business name
ESTHER L. AHN OPTOMETRIC PROFESSIONAL CORPORATION
Practice address
11900 South St
Suite 121
Cerritos, CA 90703-6847
Phone
(562) 809-4041
Fax
(562) 809-5142
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Esther L Ahn, O.D.
Title
President
Phone
(562) 809-4041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11854T CA Primary

Addresses

Primary practice location

11900 South St
Suite 121
Cerritos, CA 90703-6847

Mailing address

11900 South St
Suite 121
Cerritos, CA 90703-6847
Phone (562) 809-4041

National Provider Directory

National Provider Directory

Locations

11900 South St
Ste 121
Cerritos, CA 90703
Phone (562) 806-4041

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1740408822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 SOUTH ST",
            "address_2": "SUITE 121",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036847",
            "telephone_number": "562-809-4041",
            "fax_number": "562-809-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SOUTH ST",
            "address_2": "SUITE 121",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036847",
            "telephone_number": "562-809-4041",
            "fax_number": "562-809-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER L. AHN OPTOMETRIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-809-4041",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11854T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.