Organization Active NPI

Optometrx

  • Optometrist
  • Hacienda Heights, CA
National Provider Identifier
1962869545
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA9910T Issued in CA
Legal business name
OPTOMETRX
Practice address
17134B Colima Road
Hacienda Heights, CA 91745
Phone
(626) 610-6727
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Alvin Kwan Yang Lo, O.D.
Title
Chief Executive Officer
Phone
(626) 610-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA9910T CA Primary

Addresses

Primary practice location

17134B Colima Road
Hacienda Heights, CA 91745

Mailing address

17134B Colima Road
Hacienda Heights, CA 91745
Phone (626) 610-6727

National Provider Directory

National Provider Directory

Locations

17134 Colima Rd
Ste Bc
Hacienda Heights, CA 91745
Phone (626) 912-3937

17134 Colima Rd
Ste B
Hacienda Heights, CA 91745
Phone (626) 610-6727

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1962869545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17134B COLIMA ROAD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-610-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17134B COLIMA ROAD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-610-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "KWAN YANG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-610-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA9910T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.