Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152WP0200X | Optometrist | Pediatrics | OPT 8316 TPA | CALIFORNIA | No |
| 2 | 152WV0400X | Optometrist | Vision Therapy | OPT 8316 TPA | CALIFORNIA | No |
| 3 | 152WX0102X | Optometrist | Occupational Vision | OPT 8316 TPA | CALIFORNIA | No |
| 4 | 156FC0801X | Technician/Technologist | Contact Lens Fitter | OPT 8316 TPA | CALIFORNIA | No |
| 5 | 152W00000X | Optometrist | | OPT 8316 TPA | CALIFORNIA | Yes |