Organization Active NPI

Justine Simon Bailey OD Inc

  • Optometrist
  • La Jolla, CA
National Provider Identifier
1033869706
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JUSTINE SIMON BAILEY OD INC
Practice address
8950 Villa la Jolla Dr Ste B128
La Jolla, CA 92037-1705
Phone
(858) 453-0442
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Justine Simon Bailey, OD
Title
Optometrist
Phone
(858) 453-0442

Specialties & licenses 1

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

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste B128
La Jolla, CA 92037-1705

Mailing address

8950 Villa la Jolla Dr Ste B128
La Jolla, CA 92037-1705
Phone (858) 453-0442

National Provider Directory

National Provider Directory

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": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1033869706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371705",
            "telephone_number": "858-453-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B128",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371705",
            "telephone_number": "858-453-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE SIMON BAILEY OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "858-453-0442",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.