Active NPI
Aalok Pankajray Pandya, O.D.
- Optometrist
- Brea, CA
National Provider Identifier
1780917070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 13842 TLG
- Practice address
- 2063 Brea Mall
Brea, CA 92821-5756 - Phone
- (714) 674-5040
- NPI assigned
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 13842 TLG | CA | Primary |
Addresses
Primary practice location
2063 Brea Mall
Brea, CA 92821-5756
Mailing address
1592 Mitchell Ave
Tustin, CA 92780-5825
Phone (714) 505-1590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 13842 TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1780917070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1592 MITCHELL AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927805825",
"telephone_number": "714-505-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2063 BREA MALL",
"city": "BREA",
"state": "CA",
"postal_code": "928215756",
"telephone_number": "714-674-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "AALOK",
"middle_name": "PANKAJRAY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 13842 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.