Organization Active NPI

Dat T. DO OD, Inc

  • Optometrist
  • Torrance, CA
National Provider Identifier
1750523403
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11846T Issued in CA
Legal business name
DAT T. DO OD, INC
Practice address
1261 Cabrillo Ave Ste 200
Torrance, CA 90501-2868
Phone
(310) 618-2244
Fax
(310) 618-2240
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Dr. Dat T DO, O.D.NPI 1932294733
Title
Owner
Phone
(310) 618-2244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11846T CA Primary

Addresses

Primary practice location

1261 Cabrillo Ave Ste 200
Torrance, CA 90501-2868

Mailing address

1261 Cabrillo Ave Ste 200
Torrance, CA 90501-2868
Phone (310) 618-2244

Other identifiers 1

IdentifierTypeStateIssuer
1750523403MedicaidCA

Other names 1

  • TORRANCE OPTOMETRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000062 CA Part B Supplier - Clinic/Group Practice 8820149867 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

1261 Cabrillo Ave
Ste 200
Torrance, CA 90501
Phone (310) 618-2244

Practitioners & affiliated clinicians

Practitioners 3

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": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1750523403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 CABRILLO AVE STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012868",
            "telephone_number": "310-618-2244",
            "fax_number": "310-618-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 CABRILLO AVE STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012868",
            "telephone_number": "310-618-2244",
            "fax_number": "310-618-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT T. DO OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-618-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11846T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750523403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TORRANCE OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.