Organization Active NPI

Scott P Daly Santa Cruz Optometric

Doing business as Aptos Optometric Center

  • Optometrist
  • Aptos, CA
National Provider Identifier
1023265642
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7785 Issued in CA
Legal business name
SCOTT P DALY SANTA CRUZ OPTOMETRIC
Doing business as
Aptos Optometric Center
Practice address
3275 Aptos Rancho Rd
Suite B
Aptos, CA 95003-3983
Phone
(831) 685-1050
Fax
(831) 685-1059
NPI assigned
Aug 26, 2008
Last updated
Aug 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Kathy Daly
Title
Bookkeeper
Phone
(831) 426-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7785 CA Primary

Addresses

Primary practice location

3275 Aptos Rancho Rd
Suite B
Aptos, CA 95003-3983

Mailing address

904 Cedar St
Santa Cruz, CA 95060-3802
Phone (831) 426-1050

Other identifiers 2

IdentifierTypeStateIssuer
SD0077852OtherCAINDIVIDUAL PTAN
ZZZ27600ZOtherCAPTAN

Other names 1

  • APTOS OPTOMETRIC CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

3275 Aptos Rancho Rd
Ste B
Aptos, CA 95003
Phone (418) 685-1050

904 Cedar St
Santa Cruz, CA 95060
Phone (408) 426-1050

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1023265642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CEDAR ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603802",
            "telephone_number": "831-426-1050",
            "fax_number": "831-423-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 APTOS RANCHO RD",
            "address_2": "SUITE B",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033983",
            "telephone_number": "831-685-1050",
            "fax_number": "831-685-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT P DALY SANTA CRUZ OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "831-426-1050"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "SD0077852",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ27600Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APTOS OPTOMETRIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.