Organization Active NPI

Golden Ardaya & Lin Optometry Inc

  • Optometrist
  • Whittier, CA
National Provider Identifier
1962764340
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 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
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
David B Golden
Title
Owner/Partner
Phone
(562) 692-1208

Specialties & licenses 1

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

Addresses

Primary practice location

11245 Washington Blvd
Whittier, CA 90606-3111

Mailing address

11245 Washington Blvd
Whittier, CA 90606-3111
Phone (562) 692-1208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

4266 Lincoln Blvd
Marina del Rey, CA 90292
Phone (310) 823-4595

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "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. Last updated by the provider on Jul 11, 2012; 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.