Individual provider Active NPI

Deborah Duan

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1801451885
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34232TLG Issued in CA
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

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
34232TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Duan OD, Aoc Optometrist Current Accepting new patients
Azul Vision Inc. Optometrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Verify at the official NPI Registry.