Dynasty Optometric Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT10361TPL Issued in CA

Legal business name

DYNASTY OPTOMETRIC CENTER, INC.

Practice address

18371 Pioneer Blvd.
Artesia, CA 90701-5532

Phone

(562) 865-4190

Fax

(562) 865-3280

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cheng-Hong Johnson Lee, O.D.

Title

Owner / President

Phone

(562) 865-4190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1801070032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18371 PIONEER BLVD.",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015532",
            "telephone_number": "562-865-4190",
            "fax_number": "562-865-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18371 PIONEER BLVD.",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015532",
            "telephone_number": "562-865-4190",
            "fax_number": "562-865-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY OPTOMETRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHENG-HONG",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "562-865-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10361TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Artesia, CA
• Providers in Artesia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.