NPIMap

Organization Active NPI

Huntington Optometric Center

  • Optometrist
  • Alhambra, CA
National Provider Identifier
1902452188
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HUNTINGTON OPTOMETRIC CENTER
Practice address
100 E Huntington Dr Ste 102
Alhambra, CA 91801-1022
Phone
(626) 281-1399
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Denise Johnson
Title
Insurance Manager
Phone
(818) 243-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 E Huntington Dr Ste 102
Alhambra, CA 91801-1022

Mailing address

100 E Huntington Dr Ste 102
Alhambra, CA 91801-1022
Phone (626) 281-1399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190926003402 CA Part B Supplier - Clinic/Group Practice 7911237375 Receives reassigned benefits from 8 practitioners
Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory

Locations

100 E Huntington Dr
Ste 100
Alhambra, CA 91801

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1902452188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON DR STE 102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022",
            "telephone_number": "626-281-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON DR STE 102",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022",
            "telephone_number": "626-281-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON OPTOMETRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "818-243-1300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.