| NPI | 1184744641 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-30 |
| Last Updated | 2010-02-24 |
| Authorized Official | Garrett Wada Optometrist Phone: 7145332525 |
| Mailing Address | 936 S Brookhurst St Anaheim, CA 92804-4305 United States Phone: (714) 533-2525 | Fax: (714) 242-9564 📍 View Map |
| Primary Practice Address | 936 S Brookhurst St Anaheim, CA 92804-4305 United States Phone: (714) 533-2525 | Fax: (714) 242-9564 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | sd010097 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | CA | 10097T |
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About NPI 1184744641
Wada Optometry, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1184744641. The primary specialty listed is Optometrist. The organization is located in Anaheim, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184744641?
NPI 1184744641 belongs to Wada Optometry, Inc., a Optometrist in Anaheim, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184744641 active?
The current status of NPI 1184744641 in the NPPES registry is Active. The record was last updated on 2010-02-24.
What specialty is NPI 1184744641?
NPI 1184744641 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184744641?
You can verify NPI 1184744641 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184744641?
The primary practice address on file for NPI 1184744641 is 936 S Brookhurst St, Anaheim, CA 92804-4305. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184744641 issued?
NPI 1184744641 was first issued (enumerated) on 2007-03-30. The NPPES record was last updated on 2010-02-24.
Practice Location Map
Wada Optometry, Inc. is located at 936 S Brookhurst St, Anaheim, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Wada Optometry, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184744641. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | 10097T | CA |