Individual provider Active NPI

Elaine Kao, O.D.

  • Optometrist
  • Westminster, CA
National Provider Identifier
1801183975
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14184 Issued in CA
Practice address
2056 Westminster Mall
Westminster, CA 92683-4947
Phone
(714) 897-1550
Fax
(714) 897-3596
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14184 CA Primary

Addresses

Primary practice location

2056 Westminster Mall
Westminster, CA 92683-4947

Mailing address

2056 Westminster Mall
Westminster, CA 92683-4947
Phone (714) 897-1550

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14184CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Vision Optometry PC Optometrist CurrentSince Aug 14, 2022 Accepting new patients

Locations

17617 Pioneer Blvd
Artesia, CA 90701
Phone (562) 924-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1801183975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 WESTMINSTER MALL",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834947",
            "telephone_number": "714-897-1550",
            "fax_number": "714-897-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 WESTMINSTER MALL",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834947",
            "telephone_number": "714-897-1550",
            "fax_number": "714-897-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "ELAINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.