South Pasadena Optometric Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTH PASADENA OPTOMETRIC GROUP, INC.

Practice address

729 Mission St Ste 200
South Pasadena, CA 91030-3072

Phone

(626) 441-5300

Fax

(626) 441-2880

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Annie Chen Lee Kim

Title

Optometrist

Phone

(626) 441-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 9

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

• Frederick R Harris, O.D.

  • Optometrist
  • South Pasadena, CA
  • NPI 1730151127
  Medicare reassignment Care Compare group NPD
• Annie Chen Lee, OD

  • Optometrist
  • South Pasadena, CA
  • NPI 1871014753
  Medicare reassignment Care Compare group NPD
• Ashley Chiang Tjoe, O.D.

  • Optometrist
  • Walnut Creek, CA
  • NPI 1679920060
  Medicare reassignment Care Compare group NPD
• Lillian Tsai, OD

  • Optometrist
  • San Gabriel, CA
  • NPI 1841831062
  Medicare reassignment Care Compare group NPD
• Shelly Holcomb Lowe, O.D.

  • Low Vision Rehabilitation Optometrist
  • South Pasadena, CA
  • NPI 1144355975
  Medicare reassignment Care Compare group
• Cindy Pung Wang, O.D.

  • Pediatric Optometrist
  • South Pasadena, CA
  • NPI 1649294174
  Medicare reassignment Care Compare group
• Francisca Escobar, O.D.

  • Optometrist
  • Canoga Park, CA
  • NPI 1902191281
  Medicare reassignment NPD
• Christina Liu, OD

  • Optometrist
  • South Pasadena, CA
  • NPI 1326677881
  Medicare reassignment NPD
• Irene Nora Sang, O.D.

  • Corneal and Contact Management Optometrist
  • South Pasadena, CA
  • NPI 1073648861
  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1750416566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 MISSION ST STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 MISSION ST STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303072",
            "telephone_number": "626-441-5300",
            "fax_number": "626-441-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PASADENA OPTOMETRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "LEE KIM",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-441-5300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elva Jessica Soto Calderon
• Ashley Sotomayor
• South Pasadena Care Center, LLC (South Pasadena Care Center)
• South Pasadena Chiropractic Wellness Center
• South Pasadena General Dentistry Inc
• South Pasadena Pediatrics, a Professional Corporation (South Pasadena Pediatrics)
• South Pasadena Rehabilitation Center, LLC (MIssion Grove Healthcare & Wellness Centre)
• Southern California Neurosurgical Associates, Inc
• Julissa Sparks, LPCC, NCC
• Daniel Fred Spector, PH.D.

• Optometrist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.