Healthcare Provider Details

I. General information

NPI: 1831669357
Provider Name (Legal Business Name): OPTIKA OPTOMETRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17110 COLIMA RD STE F
HACIENDA HEIGHTS CA
91745-6786
US

IV. Provider business mailing address

17110 COLIMA RD STE F
HACIENDA HEIGHTS CA
91745-6786
US

V. Phone/Fax

Practice location:
  • Phone: 626-912-3937
  • Fax: 626-469-4949
Mailing address:
  • Phone: 626-912-3937
  • Fax: 626-469-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ALVIN KWAN YANG LO
Title or Position: CEO
Credential: OD
Phone: 626-610-6727