Eye RX, an Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

13211 Issued in CA

Legal business name

EYE RX, AN OPTOMETRIC GROUP

Practice address

8450 La Palma Ave
Buena Park, CA 90620-3210

Phone

(714) 527-9236

Fax

(714) 527-5873

NPI assigned

Oct 29, 2013

Last updated

Nov 19, 2013By 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. David Wong, ODNPI 1255535159

Title

President

Phone

(626) 222-1243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• David Wong, O.D.

  • Optometrist
  • Buena Park, CA
  • NPI 1255535159
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1871921916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 LA PALMA AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203210",
            "telephone_number": "626-222-1243",
            "fax_number": "714-527-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 LA PALMA AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203210",
            "telephone_number": "714-527-9236",
            "fax_number": "714-527-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE RX, AN OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-222-1243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Nahee Eun
• Evans Chiropractic Corp
• Amber Kay Lynn Evans
• Excellence Hospice Health Services, Inc.
• Eye Glasses Manager
• Eyecare Medical Corporation (Lasik Eye Center Medical Corporation)
• F&M Radiology Medical Center Inc
• Omar Othman Fadeel, M.D.
• Mona A Fahmy, DDS
• Mirasol Fajardo, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.