NPIMap

Organization Active NPI

Sunset Optometric Center a Professional Corporation

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1841245248
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP6225T Issued in CA
Legal business name
SUNSET OPTOMETRIC CENTER A PROFESSIONAL CORPORATION
Practice address
4445 W Sunset Blvd
Los Angeles, CA 90027-6017
Phone
(323) 668-2702
Fax
(323) 668-1210
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Romeo Joseph Garza, O.D.
Title
President / Owner
Phone
(323) 668-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OP6225T CA Primary

Addresses

Primary practice location

4445 W Sunset Blvd
Los Angeles, CA 90027-6017

Mailing address

4445 W Sunset Blvd
Los Angeles, CA 90027-6017
Phone (323) 668-2702

Other identifiers 1

IdentifierTypeStateIssuer
SD0062250MedicaidCA

Other names 1

  • Dr. Romeo J. Garza - Optometrist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1841245248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276017",
            "telephone_number": "323-668-2702",
            "fax_number": "323-668-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276017",
            "telephone_number": "323-668-2702",
            "fax_number": "323-668-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET OPTOMETRIC CENTER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "323-668-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP6225T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0062250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Romeo J. Garza - Optometrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.