Glendora Optometry Apc

Glendora Optometry Apc is a healthcare organization registered as Health Service Clinic/Center in Glendora, CA, holding Type 2 (organization) NPI 1811666506 since 2021. The authorized official on file is Cecilia Wong, Chief Executive Officer.

✓ Active NPI ✓ Valid NPI checksum

NPI	1811666506
Entity type	Organization (Type 2)
Legal business name	Glendora Optometry Apc
Practice address	852 S GRAND AVE, Glendora, CA, 91740
Phone	6269144815
Fax	6269140502
Enumeration date	2021-09-07
Last updated in NPPES	2021-09-07

Authorized official

Name	Cecilia Wong
Title	Chief Executive Officer
Phone	6269144815

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QH0100X	Health Service Clinic/Center	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
SD0107920	Medicaid	CA	—

Copy-ready billing details

Provider: Glendora Optometry Apc
NPI: 1811666506
Taxonomy: 261QH0100X (Health Service Clinic/Center)
Address: 852 S GRAND AVE, Glendora, CA, 91740

Providers at this address

NPI	Name	Type	Specialty	Location
1114058930	Randy Burt	Individual	Optometrist	Glendora, CA
1851535900	Randy R Burt, Od Inc.	Organization	Optometrist	Glendora, CA
1902448954	Brooke Bonilla	Individual	Optometrist	Glendora, CA

Verify this record

Cross-check NPI 1811666506 against the authoritative CMS record: view Glendora Optometry Apc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Glendora Optometry Apc located?

The practice location on file with NPPES is in Glendora, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-09-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-09-07.