Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Azusa Optometry Group, Inc

Organization Optometrist · NPI 1073544896

Azusa Optometry Group, Inc is an Optometrist in Hacienda Heights, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17188 Colima Rd Ste C
Hacienda Heights, CA 91745-6787
Phone: (626) 810-5503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11162-T (CA)

Record details

NPI number1073544896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Kim — President · (626) 810-5503
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address17188 Colima Rd, Suite C, Hacienda Heights, CA 91745-6787

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