Golden Ardaya & Lin Optometry Inc
Organization Active NPI Optometrist · Whittier, CA
NPI 1962764340 · NPPES record last updated Jul 11, 2012
Key facts
- NPI
- 1962764340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- GOLDEN ARDAYA & LIN OPTOMETRY INC
- Practice address
- 11245 Washington Blvd
Whittier, CA 90606-3111 - Phone
- (562) 692-1208
- Fax
- (562) 695-6386
- NPI assigned
- Jun 12, 2012
- Organization subpart
- No
Authorized official
- Name
- David B Golden
- Title
- Owner/Partner
- Phone
- (562) 692-1208
Practitioners 42
-
David Christopher Ardaya, O.D.
-
Evelynne Chavez, OD
-
Annie Chen, OD
-
Emilie Endow, OD
-
Jane Fang, OD
-
Vanessa Gonzalez, OD
-
Kristine Michi Kobayashi, O.D.
-
Fanny Lee, O.D.
-
Ivy Lin, O.D.
-
Ashik Mathur, OD
-
Juliana Nghiem, OD
-
Anna M Pennino, O.D.
-
Domenico Rinaldi, OD
-
Jenny Hyesil Sung, O.D.
-
Katy Wan, OD
-
Andrew Burton Wong, O.D.
-
Felicia Kang Chen, O.D.
-
Raina Cheung, O.D.
-
Fabian Corona, O.D.
-
Marilyn Hernandez, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120709000716 | CA | Part B Supplier - Clinic/Group Practice | 2961667399 |
Receives reassigned benefits from 38 practitioners Practice locations: Burbank, CA; Downey, CA; Los Angeles, CA; Manhattan Beach, CA; Marina del Rey, CA; Playa del Rey, CA; South Gate, CA; West Covina, CA… |
National Provider Directory
Locations
201 E Magnolia Blvd
Ste 261
Burbank, CA 91502
Phone (818) 841-2393
3200 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 488-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
11245 Washington Blvd
Whittier, CA 90606-3111
Mailing address
11245 Washington Blvd
Whittier, CA 90606-3111
Phone (562) 692-1208
NPI Registry JSON
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341964800000",
"number": "1962764340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11245 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906063111",
"telephone_number": "562-692-1208",
"fax_number": "562-695-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11245 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906063111",
"telephone_number": "562-692-1208",
"fax_number": "562-695-6386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN ARDAYA & LIN OPTOMETRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2012-07-11",
"status": "A",
"authorized_official_last_name": "GOLDEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "562-692-1208"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.