North County Ophthalmology Medical Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTH COUNTY OPHTHALMOLOGY MEDICAL GROUP, INC.

Practice address

15708 Pomerado Rd
Suite N-202
Poway, CA 92064-2066

Phone

(858) 485-5600

Fax

(858) 485-5692

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Sandy F Wood

Title

Billing Supervisor

Phone

(858) 485-5600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1013924109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD",
            "address_2": "SUITE N-202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-485-5600",
            "fax_number": "858-485-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD",
            "address_2": "SUITE N-202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-485-5600",
            "fax_number": "858-485-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY OPHTHALMOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "858-485-5600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180025388",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0011770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North County Geriatrics
• North County Internists Medical Corporation
• North County Internists, Medical Corp.
• North County Neurology Associates Medical Group
• North County Ophthalmology Medical Group
• Caroline Norton
• Norva a. Gamboa DDS., Inc.
• Sophia Norvell
• Sarai Nui
• Alexia Nunez

• Optometrist in Poway, CA
• Providers in Poway, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.