Organization Active NPI

Golden Rowland Heights Optometry

  • Optometrist
  • Rowland Heights, CA
National Provider Identifier
1851327449
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9013 Issued in CA
Legal business name
GOLDEN ROWLAND HEIGHTS OPTOMETRY
Practice address
1015 Nogales St
#109
Rowland Heights, CA 91748-1360
Phone
(626) 965-8698
Fax
(626) 965-8697
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Dr. Samuel Huang, O.D.
Title
Owner/Optometrist
Phone
(626) 965-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9013 CA Primary

Addresses

Primary practice location

1015 Nogales St
#109
Rowland Heights, CA 91748-1360

Mailing address

1015 Nogales St
#109
Rowland Heights, CA 91748-1360
Phone (626) 965-8698

Other identifiers 1

IdentifierTypeStateIssuer
GSD004100MedicaidCA

National Provider Directory

National Provider Directory

Locations

1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1851327449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NOGALES ST",
            "address_2": "#109",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481360",
            "telephone_number": "626-965-8698",
            "fax_number": "626-965-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NOGALES ST",
            "address_2": "#109",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481360",
            "telephone_number": "626-965-8698",
            "fax_number": "626-965-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ROWLAND HEIGHTS OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "626-965-8698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.