PLAZA VISION OPTOMETRY
NPI 1407957582
Optometrist in Monrovia, CA

Q: What is Teruo Watanabe, O.D., Inc.'s NPI number?

The NPI number for Teruo Watanabe, O.D., Inc. is 1407957582. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Plaza Vision Optometry.

Q: What is Teruo Watanabe, O.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 25, 2006

525 S MYRTLE AVE STE 107, MONROVIA, CA 91016(626) 359-3937(626) 358-5030 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Plaza Vision Optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLAZA VISION OPTOMETRY (NPI 1407957582) is a healthcare organization registered as an optometrist in Monrovia, California and active in the NPI registry since September 2006. The organization lists Teruo Watanabe, Optometrist/president, as its authorized official.

NPPES Registry Identity

NPI1407957582

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTERUO WATANABE, O.D., INC.

Location Address525 S MYRTLE AVE STE 107Monrovia, CA 91016-6139

Mailing Address525 S Myrtle Ave Ste 107Monrovia, CA 91016-6139 · (626) 359-3937 · Fax (626) 358-5030

Phone(626) 359-3937

Fax(626) 358-5030

Organization SubpartNo

Authorized OfficialTeruo WatanabeOptometrist/president · (626) 359-3937

Enumeration DateSeptember 25, 2006

Last NPPES UpdateOctober 12, 2012

✔ NPI 1407957582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 5162T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

525 S MYRTLE AVE STE 107, Monrovia, CA 91016

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Other Names 1

Doing Business AsPlaza Vision Optometry

Other Identifiers 4

Medicare UPINT70050CA

Medicare PINFV512BCA

MedicaidSD0056120CA

Medicare NSC0837360001CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plaza Vision Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Plaza Vision Optometry, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Alysa Watanabe, O.D.

Optometry

NPI 1467617175

525 S MYRTLE AVE SUITE 107
Monrovia, CA 91016

(626) 359-3937

✔ PECOS✔ Accepts MedicareSame address

Teruo Watanabe, O.D.

Optometry

NPI 1952402026

525 S MYRTLE AVE STE 107
Monrovia, CA 91016

(626) 359-3937

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teruo Watanabe, O.D., Inc.'s NPI number?

The NPI number for Teruo Watanabe, O.D., Inc. is 1407957582. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Plaza Vision Optometry.

Where is Teruo Watanabe, O.D., Inc. located?

Teruo Watanabe, O.D., Inc. is located at 525 S Myrtle Ave Ste 107, Monrovia, CA 91016. The listed phone number is (626) 359-3937.

What is Teruo Watanabe, O.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Teruo Watanabe, O.D., Inc. enrolled in Medicare?

Yes. Teruo Watanabe, O.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teruo Watanabe, O.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Teruo Watanabe, O.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Teruo Watanabe, O.D., Inc. was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.