Organization Active NPI

Norco Valley Optometry, Inc

  • Optometrist
  • Norco, CA
National Provider Identifier
1851820872
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011699T Issued in CA
Legal business name
NORCO VALLEY OPTOMETRY, INC
Practice address
1524 4TH St Ste 101
Norco, CA 92860-1974
Phone
(951) 407-1238
Fax
(951) 407-1235
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Lucy P Lu, ODNPI 1821145459
Title
Ceo
Phone
(626) 826-5576

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X 011699T CA Primary

Addresses

Primary practice location

1524 4TH St Ste 101
Norco, CA 92860-1974

Mailing address

1524 4TH St Ste 101
Norco, CA 92860-1974
Phone (951) 407-1238

Other identifiers 1

IdentifierTypeStateIssuer
011699TOtherCAOPTOMETRY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824000672 CA Part B Supplier - Clinic/Group Practice 4587913579 Receives reassigned benefits from 5 practitioners
Practice locations: Norco, CA

National Provider Directory

National Provider Directory

Locations

1524 4th St
Ste 101
Norco, CA 92860
Phone (714) 771-1213

1700 Hamner Ave
Ste 102
Norco, CA 92860
Phone (951) 735-7122

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851820872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 4TH ST STE 101",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601974",
            "telephone_number": "951-407-1238",
            "fax_number": "951-407-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 4TH ST STE 101",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601974",
            "telephone_number": "951-407-1238",
            "fax_number": "951-407-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCO VALLEY OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-826-5576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "011699T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "011699T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.