GLENDORA OPTOMETRY APC NPI 1811666506

NPI Information

  • NPI: 1811666506
  • Provider Name: GLENDORA OPTOMETRY APC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 852 S GRAND AVE
    GLENDORA, CA
    ZIP 91740
  • Phone: (626) 914-4815

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NPI Details

GLENDORA OPTOMETRY APC is a health service clinic center in Glendora, CA. GLENDORA OPTOMETRY APC NPI is 1811666506. The provider is registered as an organization entity type.

The provider's business location address is:

852 S GRAND AVE
GLENDORA, CA
ZIP 91740-806
Phone: (626) 914-4815
Fax: (626) 914-0502

The provider's authorized official is Cecilia Wong .
The authorized official title is Chief Executive Officer and has the following contact phone number (626) 914-4815.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 9/7/2021.

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
1261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SD0107920MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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