Organization Active NPI

Wyse Willa Optometry, Inc.

Doing business as Hoey Shem Optometry

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1932884731
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WYSE WILLA OPTOMETRY, INC.
Doing business as
Hoey Shem Optometry
Practice address
638 W Duarte Rd Ste 10
Arcadia, CA 91007-7619
Phone
(626) 445-1186
Fax
(626) 445-1452
NPI assigned
Jun 19, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WYSE WILLA OPTOMETRY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Dr. Wendy Yvette May Shem, ODNPI 1821050162
Title
Ceo
Phone
(626) 445-1186

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

638 W Duarte Rd Ste 10
Arcadia, CA 91007-7619

Mailing address

638 W Duarte Rd Ste 10
Arcadia, CA 91007-7619
Phone (626) 445-1186

Other identifiers 3

IdentifierTypeStateIssuer
1891788634OtherNPI
1144848201OtherNPI
1821050162OtherNPI

Other names 1

  • Hoey Shem Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231018000249 CA Part B Supplier - Clinic/Group Practice 3072968577 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Pasadena, CA; Arcadia, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wyse Willa Optometry Inc3 organizations share this tax ID, including this one
Part of
Wyse Willa Optometry Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1609 N Vermont Ave
Los Angeles, CA 90027
Phone (323) 660-8346

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1932884731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD STE 10",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077619",
            "telephone_number": "626-445-1186",
            "fax_number": "626-445-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD STE 10",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077619",
            "telephone_number": "626-445-1186",
            "fax_number": "626-445-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYSE WILLA OPTOMETRY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYSE WILLA OPTOMETRY, INC.",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "SHEM",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "YVETTE MAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-445-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891788634",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144848201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821050162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoey Shem Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.