Healthcare Provider Details

I. General information

NPI: 1730010489
Provider Name (Legal Business Name): DR. CAITLYN RANA-LEW, O.D., OPTOMETRIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
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: 909-815-9066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: CAITLYN YURIKO RANA-LEW
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 909-815-9066