LLRN Optometry, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LLRN OPTOMETRY, INC

Doing business as

California Optical

Practice address

1525 W 13TH St Ste a
Upland, CA 91786-7527

Phone

(909) 559-6050

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Lan Anh Tran

Title

Office Manager

Phone

(909) 985-1045

Specialties & licenses 1

Addresses

Other names 1

• California Optical Doing business as

Locations

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1851865778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W 13TH ST STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867527",
            "telephone_number": "909-559-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 13TH ST STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867527",
            "telephone_number": "909-559-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLRN OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LAN ANH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-985-1045"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.