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

Phoenix Optometry Group Inc

Organization Optometrist · NPI 1700121613

Phoenix Optometry Group Inc is an Optometrist in Cerritos, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

19151 Bloomfield Ave
Cerritos, CA 90703-7104
Phone: (562) 567-7646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT 11011 TPA (CA)

Record details

NPI number1700121613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramon Villegas — Owner/Doctor · (562) 567-7646
Other names Phoenix Optometry Group Inc'S Eyepad
NPI enumeratedDecember 4, 2012
Last updated in NPPESDecember 4, 2012
Mailing address12455 Cedarcreek Ln, Cerritos, CA 90703-2028

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