Great Eyes Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11765T Issued in CA

Legal business name

GREAT EYES OPTOMETRY, INC

Practice address

343 S Broadway
Los Angeles, CA 90013-1207

Phone

(213) 626-9978

Fax

(213) 628-0500

NPI assigned

Jan 4, 2008

Last updated

Feb 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jade Ngoc My Davis, O.D.NPI 1457303398

Title

President

Phone

(213) 626-9978

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jade Ngoc My Davis, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1457303398
  Authorized official Same address or phone

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1811172190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LAS DUNAS ST",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518000",
            "telephone_number": "714-305-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131207",
            "telephone_number": "213-626-9978",
            "fax_number": "213-628-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900131207",
            "country_code": "US",
            "telephone_number": "213-626-9978",
            "fax_number": "213-628-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT EYES OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "NGOC MY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-626-9978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11765T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paiton Grayson
• Paula Grayson
• Stephanie L Grayson, PH.D.
• Valerie Grayson, LPT
• Lloyd Edward Greaser III, M.D.
• Great Health Medical Center Inc
• Greater Los Angeles Cardiology Medical Group (Cardiac Partners Medical Group Inc)
• Greater Los Angeles Cardiology Medical Group
• Greater Los Angeles Dialysis Centers LLC (University Park Dialysis Center)
• Greater Los Angeles Dialysis Centers LLC (Wilshire Dialysis Center)

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.