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 | 13753 TLG | CALIFORNIA | No |
2 | 152WL0500X | Optometrist | Low Vision Rehabilitation | 13753 TLG | CALIFORNIA | No |
3 | 152WP0200X | Optometrist | Pediatrics | 13753 TLG | CALIFORNIA | No |
4 | 152WS0006X | Optometrist | Sports Vision | 13753 TLG | CALIFORNIA | No |
5 | 152WV0400X | Optometrist | Vision Therapy | 13753 TLG | CALIFORNIA | No |
6 | 152WX0102X | Optometrist | Occupational Vision | 13753 TLG | CALIFORNIA | No |
7 | 152W00000X | Optometrist | | 13753 TLG | CALIFORNIA | Yes |