NPIMap

Organization Active NPI

Optometrix

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1952589442
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6586 Issued in CA
Legal business name
OPTOMETRIX
Practice address
11701 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1544
Phone
(310) 820-7866
Fax
(310) 286-4896
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Myles Josef Zakheim, O.D.NPI 1801911599
Title
Doctor/ Owner
Phone
(310) 820-7866

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6586 CA Primary

Addresses

Primary practice location

11701 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1544

Mailing address

11701 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1544
Phone (310) 820-7866

Other names 1

  • Dr. Myles Josef Zakheim,OD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000529 CA Part B Supplier - Clinic/Group Practice 9032288840 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

11701 Wilshire Blvd
Ste 10
Los Angeles, CA 90025
Phone (310) 820-7866

Practitioners & affiliated clinicians

Practitioners 4

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1952589442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251544",
            "telephone_number": "310-820-7866",
            "fax_number": "310-826-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251544",
            "telephone_number": "310-820-7866",
            "fax_number": "310-286-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "ZAKHEIM",
        "authorized_official_first_name": "MYLES",
        "authorized_official_middle_name": "JOSEF",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "310-820-7866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Myles Josef Zakheim,OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.