Individual provider Active NPI

Violet Anne Ito, O.D.

  • Optometrist
  • Redondo Beach, CA
National Provider Identifier
1851441539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7822T Issued in CA
Practice address
1815 Hawthorne Blvd
Ste 236 Galleria at South Bay
Redondo Beach, CA 90278-3424
Phone
(310) 370-1618
Fax
(310) 371-3126
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7822T CA Primary

Addresses

Primary practice location

1815 Hawthorne Blvd
Ste 236 Galleria at South Bay
Redondo Beach, CA 90278-3424

Mailing address

321 Wilshire Blvd
C O Eyexam of Ca.
Santa Monica, CA 90401-1311
Phone (310) 394-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7822TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851441539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 WILSHIRE BLVD",
            "address_2": "C O EYEXAM OF CA.",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011311",
            "telephone_number": "310-394-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAWTHORNE BLVD",
            "address_2": "STE 236 GALLERIA AT SOUTH BAY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783424",
            "telephone_number": "310-370-1618",
            "fax_number": "310-371-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "VIOLET",
        "middle_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7822T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.