OrganizationActive
Great Eyes Optometry, Inc
NPI 1811172190 · Optometrist · Los Angeles, CA
Great Eyes Optometry, Inc is a Optometrist organization in Los Angeles, CA (NPI 1811172190).
Provider details
- NPI number
- 1811172190
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jade Davis, President(213) 626-9978
- License
- 11765T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
343 S Broadway
Los Angeles, CA 90013-1207
Phone: (213) 626-9978
Fax: (213) 628-0500
Street-level locationGet directions
Mailing address
625 Las Dunas St
Imperial, CA 92251-8000
Additional practice locations (1)
- 343 S BroadwayLos Angeles, CA 90013-1207Phone: (213) 626-9978Fax: (213) 628-0500
Registry dates
- Enumerated
- 2008-01-04
- Last updated
- 2018-02-20
Frequently asked questions
- What is Great Eyes Optometry, Inc's NPI number?
- Great Eyes Optometry, Inc's National Provider Identifier (NPI) is 1811172190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Eyes Optometry, Inc?
- Great Eyes Optometry, Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Great Eyes Optometry, Inc located?
- Great Eyes Optometry, Inc's practice location on file with NPPES is 343 S Broadway, Los Angeles, CA 90013-1207.
- What is Great Eyes Optometry, Inc's phone number?
- The practice phone number listed in the NPPES registry for Great Eyes Optometry, Inc is (213) 626-9978.
- Who is the authorized official for Great Eyes Optometry, Inc?
- The authorized official listed on Great Eyes Optometry, Inc's NPPES record is Jade Davis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Eyes Optometry, Inc's NPI active?
- Yes — Great Eyes Optometry, Inc's NPI (1811172190) is active in the NPPES registry as of the last update on 2018-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.