OrganizationActive
Azusa Optometry Group, Inc.
NPI 1073544896 · Optometrist · Hacienda Heights, CA
Provider details
- NPI number
- 1073544896
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Martin Kim, President(626) 810-5503
- License
- 11162-T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
17188 Colima Rd
Suite C
Hacienda Heights, CA 91745-6787
Phone: (626) 810-5503
Street-level locationGet directions
Mailing address
17188 Colima Rd
Hacienda Heights, CA 91745-6787
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.