Active NPI
Deborah Duan
- Optometrist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34232TLG
- Practice address
- 2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747 - Phone
- (626) 793-4168
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 34232TLG | CA | Primary |
Addresses
Primary practice location
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
Mailing address
463 W Camino Real Ave
Arcadia, CA 91007-7302
Phone (626) 203-3684
Other practice location 1
207 S Santa Anita St Ste 310
San Gabriel, CA 91776-1154
Phone (626) 200-1277
Other practice location 2
855 W Foothill Blvd
Monrovia, CA 91016-1938
Phone (626) 358-1080
Other practice location 3
150 S Grand Ave Ste J
Glendora, CA 91741-4716
Phone (626) 335-2114
Other practice location 4
1025 N Brand Blvd Ste 200
Glendale, CA 91202-3638
Phone (818) 583-9933
Other practice location 5
18370 Burbank Blvd Ste 207
Tarzana, CA 91356-2856
Phone (818) 996-3400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34232TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Duan OD, Aoc | Optometrist | Current | Accepting new patients |
| Azul Vision Inc. | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- deborah.duan.p1@direct.atlantiseyecare.nextgenshare.com
Organizations & group practices 2
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": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1801451885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 W CAMINO REAL AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077302",
"telephone_number": "626-203-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 E COLORADO BLVD STE 150",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073747",
"telephone_number": "626-793-4168"
}
],
"practiceLocations": [
{
"address_1": "207 S Santa Anita St Ste 310",
"address_purpose": "LOCATION",
"city": "San Gabriel",
"state": "CA",
"postal_code": "917761154",
"country_code": "US",
"telephone_number": "626-200-1277",
"fax_number": "626-200-1278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 W Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Monrovia",
"state": "CA",
"postal_code": "910161938",
"country_code": "US",
"telephone_number": "626-358-1080",
"fax_number": "626-358-0548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 S Grand Ave Ste J",
"address_purpose": "LOCATION",
"city": "Glendora",
"state": "CA",
"postal_code": "917414716",
"country_code": "US",
"telephone_number": "626-335-2114",
"fax_number": "626-963-6497",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 N Brand Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912023638",
"country_code": "US",
"telephone_number": "818-583-9933",
"fax_number": "818-583-9935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18370 Burbank Blvd Ste 207",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913562856",
"country_code": "US",
"telephone_number": "818-996-3400",
"fax_number": "818-996-8343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUAN",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34232TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.