Organization Active NPI

Eye Care West Optometry

  • Optometrist
  • Bellflower, CA
National Provider Identifier
1801826813
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE WEST OPTOMETRY
Practice address
14329 Woodruff Ave
Suite E
Bellflower, CA 90706-3260
Phone
(562) 867-8302
Fax
(562) 867-7046
NPI assigned
Jul 4, 2006
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Anthony Joseph Huang, O.D.NPI 1659344802
Title
President
Phone
(562) 867-8302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14329 Woodruff Ave
Suite E
Bellflower, CA 90706-3260

Mailing address

14329 Woodruff Ave
Suite E
Bellflower, CA 90706-3260
Phone (562) 867-8302

Other identifiers 1

IdentifierTypeStateIssuer
GSD005090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070116000599 CA Part B Supplier - Clinic/Group Practice 9931100088 Receives reassigned benefits from 3 practitioners
Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory

Locations

14329 Woodruff Ave
Ste E
Bellflower, CA 90706
Phone (562) 867-8302

Practitioners & affiliated clinicians

Practitioners 5

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1801826813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14329 WOODRUFF AVE",
            "address_2": "SUITE E",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063260",
            "telephone_number": "562-867-8302",
            "fax_number": "562-867-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14329 WOODRUFF AVE",
            "address_2": "SUITE E",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063260",
            "telephone_number": "562-867-8302",
            "fax_number": "562-867-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE WEST OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-867-8302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.