Organization Active NPI

Lenhardt Optometric Group Inc.

  • Optometrist
  • Fullerton, CA
National Provider Identifier
1992196521
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 13041 TPG Issued in CA
Legal business name
LENHARDT OPTOMETRIC GROUP INC.
Practice address
501 N Cornell Ave
Fullerton, CA 92831-2744
Phone
(714) 525-3350
Fax
(714) 525-1310
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Deana H Hopkins
Title
Medical Billing Manager
Phone
(714) 525-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 13041 TPG CA Primary

Addresses

Primary practice location

501 N Cornell Ave
Fullerton, CA 92831-2744

Mailing address

501 N Cornell Ave
Fullerton, CA 92831-2744
Phone (714) 525-3350

Other identifiers 2

IdentifierTypeStateIssuer
213323501OtherCAANTHEM BLUE CROSS OF CA
ZZZ67199YOtherCABLUE SHIELD OF CA

Other names 1

  • Lenhardt Optometric Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1992196521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-525-3350",
            "fax_number": "714-525-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-525-3350",
            "fax_number": "714-525-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENHARDT OPTOMETRIC GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "714-525-3350"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13041 TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS OF CA",
            "identifier": "213323501",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ67199Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenhardt Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.