Organization Active NPI

Zelaya Optometry Inc

  • Optometrist
  • Culver City, CA
National Provider Identifier
1780435438
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ZELAYA OPTOMETRY INC
Doing business as
Zelaya Optometry Inc
Practice address
3840 Main St
Culver City, CA 90232-2620
Phone
(310) 839-2090
Fax
(310) 204-5858
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Katya Suyin Zelaya, ODNPI 1942505425
Title
Optometrist
Phone
(310) 839-2090

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 Primary

Addresses

Primary practice location

3840 Main St
Culver City, CA 90232-2620

Mailing address

3840 Main St
Culver City, CA 90232-2620
Phone (310) 839-2090

Other names 1

  • Zelaya Optometry Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Zelaya Optometry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1780435438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 MAIN ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322620",
            "telephone_number": "310-839-2090",
            "fax_number": "310-204-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 MAIN ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322620",
            "telephone_number": "310-839-2090",
            "fax_number": "310-204-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELAYA OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "ZELAYA",
        "authorized_official_first_name": "KATYA",
        "authorized_official_middle_name": "SUYIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-839-2090",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zelaya Optometry Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.