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 | 152WC0802X | Optometrist | Corneal and Contact Management | OPT 14814 TLG | CALIFORNIA | No |
| 2 | 152WL0500X | Optometrist | Low Vision Rehabilitation | OPT 14814 TLG | CALIFORNIA | No |
| 3 | 152WP0200X | Optometrist | Pediatrics | OPT 14814 TLG | CALIFORNIA | No |
| 4 | 152WS0006X | Optometrist | Sports Vision | OPT 14814 TLG | CALIFORNIA | No |
| 5 | 152WV0400X | Optometrist | Vision Therapy | OPT 14814 TLG | CALIFORNIA | No |
| 6 | 152WX0102X | Optometrist | Occupational Vision | OPT 14814 TLG | CALIFORNIA | No |
| 7 | 152W00000X | Optometrist | | OPT 14814 TLG | CALIFORNIA | Yes |