Optometric Specialties Inc
NPI 1023094570 · Optometrist · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1023094570
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Eric Gaylord, Owner(323) 294-7517
- License
- COR 889 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 12902 Brookhurst St Ste aGarden Grove, CA 92840-4881Phone: (714) 530-2020
- 3756 Santa Rosalia DrSuite 100Los Angeles, CA 90008-3606Phone: (323) 294-7517
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.