Organization Active NPI

Town Center Optometry, Inc.

  • Optometrist
  • Montebello, CA
National Provider Identifier
1780019968
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8538TPG Issued in CA
Legal business name
TOWN CENTER OPTOMETRY, INC.
Practice address
1449 W Beverly Blvd
Montebello, CA 90640-4156
Phone
(323) 723-3937
Fax
(323) 722-6204
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. Harold Susumu Masuda, O.D.NPI 1780614545
Title
President/Optometrist
Phone
(323) 723-3937

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 8538TPG CA Primary

Addresses

Primary practice location

1449 W Beverly Blvd
Montebello, CA 90640-4156

Mailing address

1449 W Beverly Blvd
Montebello, CA 90640-4156
Phone (323) 723-3937

Other identifiers 1

IdentifierTypeStateIssuer
1780614545MedicaidCA

National Provider Directory

National Provider Directory

Locations

1449 W Beverly Blvd
Montebello, CA 90640
Phone (323) 723-3937

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": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1780019968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404156",
            "telephone_number": "323-723-3937",
            "fax_number": "323-722-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404156",
            "telephone_number": "323-723-3937",
            "fax_number": "323-722-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "MASUDA",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "SUSUMU",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "323-723-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8538TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780614545",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.