Organization Active NPI

New Look Family Optometry, Inc

Doing business as Blue Eyes Optometry

  • Optometrist
  • Glendale, CA
National Provider Identifier
1982731402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12725-T Issued in CA
Legal business name
NEW LOOK FAMILY OPTOMETRY, INC
Doing business as
Blue Eyes Optometry
Practice address
121.5 W. Wilson Ave.
Glendale, CA 91203
Phone
(818) 507-6100
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phu-Scott VI Lam, O.D.
Title
Owner, President
Phone
(818) 507-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12725-T CA Primary

Addresses

Primary practice location

121.5 W. Wilson Ave.
Glendale, CA 91203

Mailing address

121.5 W. Wilson Ave.
Glendale, CA 91203
Phone (818) 507-6100

Other names 1

  • Blue Eyes Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

121 W Wilson Ave
#1-2
Glendale, CA 91203
Phone (818) 507-6100

Practitioners & affiliated clinicians

Practitioners 1

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982731402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121.5 W. WILSON AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-507-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121.5 W. WILSON AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-507-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LOOK FAMILY OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PHU-SCOTT",
        "authorized_official_middle_name": "VI",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "818-507-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12725-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.