OPTOMETRIC CENTER OF LOS ANGELES – NPI #1558467225
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Health Care Provider Taxonomy Code for Optometrist

OPTOMETRIC CENTER OF LOS ANGELES is an optometrist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1558467225 to OPTOMETRIC CENTER OF LOS ANGELES on September 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OPTOMETRIC CENTER OF LOS ANGELES” is a dba name, the actual legal business name for this organization is MARSHALL B. KETCHUM UNIVERSITY/UNIVERSITY EYE CENTER AT LOS ANGELES. The primary taxonomy selected by this provider is 152W00000X from the Health Care Provider Taxonomy code set, which is classified as Optometrist.

The NPI profile was previously updated about 11 years ago on Oct 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPTOMETRIC CENTER OF LOS ANGELES below.

NPI Profile for
MARSHALL B. KETCHUM UNIVERSITY/UNIVERSITY EYE CENTER AT LOS ANGELES

NPI Number
1558467225
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARSHALL B. KETCHUM UNIVERSITY/UNIVERSITY EYE CENTER AT LOS ANGELES
Doing Business As (dba): OPTOMETRIC CENTER OF LOS ANGELES
Primary location
3916 S. BROADWAY
LOS ANGELES, CA 90037
Phone: (323) 234-9137 Fax: (323) 235-6203
Mailing address
Same as primary location
Organization Subpart
Yes - OPTOMETRIC CENTER OF LOS ANGELES is subpart of another organization.
Authorized Official
MARK NAKENO
CLINIC DIRECTOR
Phone: (323) 234-9137
Updated
Identifiers

Identifiers for OPTOMETRIC CENTER OF LOS ANGELES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAZZT11740F
MEDICAIDCAZZT 11740F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152W00000X
- Optometrist (Primary)		 CA 5827 TPL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.