NPIMap

Organization Active NPI

Hensen and Perlman Ods

  • Optometrist
  • Chino, CA
National Provider Identifier
1790972453
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6686 Issued in CA
Legal business name
HENSEN AND PERLMAN ODS
Practice address
5385 Walnut Ave
Ste 2
Chino, CA 91710-2605
Phone
(909) 627-8523
Fax
(909) 627-5183
NPI assigned
Sep 26, 2007
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Dr. Ronald A Hensen, O.D.NPI 1619069671
Title
Owner
Phone
(909) 627-8523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 6686 CA
Eyewear Supplier 332H00000X 6671 CA
Optometrist 152W00000X 6686 CA Primary
Optometrist 152W00000X 6671 CA

Addresses

Primary practice location

5385 Walnut Ave
Ste 2
Chino, CA 91710-2605

Mailing address

5385 Walnut Ave
Ste 2
Chino, CA 91710-2605
Phone (909) 627-8523

National Provider Directory

National Provider Directory

Locations

5385 Walnut Ave
Ste 2
Chino, CA 91710
Phone (909) 576-6398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1790972453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 WALNUT AVE",
            "address_2": "STE 2",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102605",
            "telephone_number": "909-627-8523",
            "fax_number": "909-627-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 WALNUT AVE",
            "address_2": "STE 2",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102605",
            "telephone_number": "909-627-8523",
            "fax_number": "909-627-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENSEN AND PERLMAN ODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "HENSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-627-8523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "6686",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "6671",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6686",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.