PONPHEN UTTAYAYA OD
NPI 1477612190
Optometrist in Los Angeles, CA

Active since December 08, 2006
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ponphen Uttayaya Od NPPES

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

PONPHEN UTTAYAYA OD (NPI 1477612190) is an individual optometrist in Los Angeles, California, licensed in California (OPT7737TPA) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1477612190
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePONPHEN UTTAYAYACredential: OD
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702 · (323) 857-2000
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateNovember 30, 2021
NPI 1477612190 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 · OPT7737TPA
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.
6041 CADILLAC AVE, Los Angeles, CA 90034

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034

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 Ponphen Uttayaya's NPI number?

The NPI number for Ponphen Uttayaya is 1477612190. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Ponphen Uttayaya located?

Ponphen Uttayaya practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.

What is Ponphen Uttayaya's specialty?

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

When was this NPI record last updated?

The NPPES record for Ponphen Uttayaya was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.