Dalwadi Family Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13205 Issued in CA

Legal business name

DALWADI FAMILY EYE CARE INC

Practice address

330 Inland Ctr
San Bernardino, CA 92408-1956

Phone

(909) 884-5255

Fax

(909) 884-3015

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kamini Dalwadi, OD

Title

Ceo

Phone

(312) 316-1996

Specialties & licenses 1

Addresses

Other names 1

• Dalwadi Optometry Doing business as

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1003394057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 SATTERFIELD WAY",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917106964",
            "telephone_number": "312-316-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 INLAND CTR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081956",
            "telephone_number": "909-884-5255",
            "fax_number": "909-884-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALWADI FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "DALWADI",
        "authorized_official_first_name": "KAMINI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-316-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalwadi Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juuna'E Dolores Dai'Re
• Jatin J Dalal, M.D.
• Lopa Mithil Dalal, PTLA
• Michael K Daley
• Michelle Dalton, MA, BCBA
• Kamini Dalwadi, O.D.
• Krystal Dalzell
• Elvira Lizbet Damian
• Cyrus Damirchi, M.D.
• Cora Dandridge

• Optometrist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.