Agoura-West Valley Optometric Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

8019TPL Issued in CA

Legal business name

AGOURA-WEST VALLEY OPTOMETRIC CENTER

Practice address

6800 Owensmouth Ave
#400
Canoga Park, CA 91303-3159

Phone

(818) 340-5796

Fax

(818) 340-4030

NPI assigned

May 18, 2006

Last updated

Jun 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Danita Sam Lai, O.D.

Title

President

Phone

(818) 340-5796

Specialties & licenses 2

Addresses

Other names 1

• Drs. Rishko and Sam Other name

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1871546341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 OWENSMOUTH AVE",
            "address_2": "#400",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033159",
            "telephone_number": "818-340-5796",
            "fax_number": "818-340-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 OWENSMOUTH AVE",
            "address_2": "#400",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033159",
            "telephone_number": "818-340-5796",
            "fax_number": "818-340-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28222 Agoura Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913012484",
            "country_code": "US",
            "telephone_number": "818-597-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGOURA-WEST VALLEY OPTOMETRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "DANITA",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-340-5796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8019TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Rishko and Sam",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Drs. Rishko and Sam",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aegis Medical Systems, Inc
• Aegis Treatment Centers, LLC
• Affordable Urgent Care, Inc
• Parvaneh Afrashteh, DDS
• Rehan Aghvinian, LCSW
• Alexis Aguilar-Castro
• Cynthia M Aguilar
• Miranda Aguilar
• Nataly Aguilar
• Stella Aguilera

• Optometrist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.