NPIMap

Organization Active NPI

Optometric Vision Care Associates Inc

  • Optometrist
  • Bellflower, CA
National Provider Identifier
1801993639
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC VISION CARE ASSOCIATES INC
Practice address
16816 Clark Avenue
Bellflower, CA 90706-5793
Phone
(562) 925-6591
Fax
(562) 867-8719
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Eric T Ikeda, ODNPI 1982700704
Title
Owner
Phone
(562) 925-6591

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16816 Clark Avenue
Bellflower, CA 90706-5793

Mailing address

16816 Clark Avenue
Bellflower, CA 90706-5793
Phone (562) 925-6591

Other names 1

  • James L Cox OD and Michael M King OD Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050608000642 CA Part B Supplier - Clinic/Group Practice 8628011897 Receives reassigned benefits from 4 practitioners
Practice locations: Bellflower, CA

National Provider Directory

National Provider Directory

Locations

16816 Clark Ave
Bellflower, CA 90706
Phone (310) 925-6591

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1801993639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16816 CLARK AVENUE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065793",
            "telephone_number": "562-925-6591",
            "fax_number": "562-867-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16816 CLARK AVENUE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065793",
            "telephone_number": "562-925-6591",
            "fax_number": "562-867-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC VISION CARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "IKEDA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-925-6591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James L Cox OD and Michael M King OD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 10, 2009; 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.