Healthcare Provider Details

I. General information

NPI: 1427671288
Provider Name (Legal Business Name): CAITLYN YURIKO RANA-LEW O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLYN LEW O.D.

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N AZUSA AVE
COVINA CA
91722-3502
US

IV. Provider business mailing address

525 N AZUSA AVE
COVINA CA
91722-3502
US

V. Phone/Fax

Practice location:
  • Phone: 909-815-9066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number34522
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: