NPIMap

Organization Active NPI

Manchester Optometry Eye Care

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1770124570
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MANCHESTER OPTOMETRY EYE CARE
Practice address
10024 S Vermont Ave Ste 2
Los Angeles, CA 90044-3112
Phone
(323) 756-1114
Fax
(866) 398-5898
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Quinta Nyindem Cunningham
Title
Assistant Administrator
Phone
(323) 756-1114

Specialties & licenses 1

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

Addresses

Primary practice location

10024 S Vermont Ave Ste 2
Los Angeles, CA 90044-3112

Mailing address

10024 S Vermont Ave
Los Angeles, CA 90044-3112
Phone (323) 756-1114

National Provider Directory

National Provider Directory

Locations

10024 S Vermont Ave
Ste 2
Los Angeles, CA 90044
Phone (323) 756-1114

Practitioners & affiliated clinicians

Practitioners 1

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": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1770124570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443112",
            "telephone_number": "323-756-1114",
            "fax_number": "866-398-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443112",
            "telephone_number": "323-756-1114",
            "fax_number": "866-398-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER OPTOMETRY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "QUINTA",
        "authorized_official_middle_name": "NYINDEM",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "323-756-1114"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.