NPIMap

Organization Active NPI

Sterling Optical#541

  • Optometrist
  • Ontario, CA
National Provider Identifier
1003008160
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5677 Issued in CA
Legal business name
STERLING OPTICAL#541
Doing business as
Flow Optical Inc
Practice address
1 Mills Cir
1016
Ontario, CA 91764-5207
Phone
(909) 481-1083
Fax
(909) 484-2060
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael D Walker
Title
Ceo
Phone
(909) 481-1083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5677 CA Primary

Addresses

Primary practice location

1 Mills Cir
1016
Ontario, CA 91764-5207

Mailing address

1 Mills Cir
1016
Ontario, CA 91764-5207
Phone (909) 481-1083

Other names 1

  • Flow Optical Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1 Mills Cir
Ste 1016
Ontario, CA 91764
Phone (909) 481-1083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1003008160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILLS CIR",
            "address_2": "1016",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645207",
            "telephone_number": "909-481-1083",
            "fax_number": "909-484-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILLS CIR",
            "address_2": "1016",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645207",
            "telephone_number": "909-481-1083",
            "fax_number": "909-484-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING OPTICAL#541",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-481-1083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flow Optical Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.