Organization Active NPI

Dalwadi Family Eye Care Inc

Doing business as Dalwadi Optometry

  • Optometrist
  • San Bernardino, CA
National Provider Identifier
1003394057
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13205 Issued in CA
Legal business name
DALWADI FAMILY EYE CARE INC
Doing business as
Dalwadi Optometry
Practice address
330 Inland Ctr
San Bernardino, CA 92408-1956
Phone
(909) 884-5255
Fax
(909) 884-3015
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Dr. Kamini Dalwadi, ODNPI 1588775043
Title
Ceo
Phone
(312) 316-1996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13205 CA Primary

Addresses

Primary practice location

330 Inland Ctr
San Bernardino, CA 92408-1956

Mailing address

6157 Satterfield Way
Chino, CA 91710-6964
Phone (312) 316-1996

Other names 1

  • Dalwadi Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

330 Inland Ctr
Sn Bernrdno, CA 92408
Phone (909) 381-7661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • 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.