Organization Active NPI

Philip R. Mill, OD and Michael D. Sutton, OD Inc.

  • Optometrist
  • Pittsburg, CA
National Provider Identifier
1053713552
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13917 TPL Issued in CA
Legal business name
PHILIP R. MILL, OD AND MICHAEL D. SUTTON, OD INC.
Practice address
3715 Railroad Ave Ste C
Pittsburg, CA 94565-5236
Phone
(925) 432-6484
Fax
(925) 432-3878
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Michael D. Sutton, OD
Title
Optometrist
Phone
(925) 432-6484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 13917 TPL CA Primary

Addresses

Primary practice location

3715 Railroad Ave Ste C
Pittsburg, CA 94565-5236

Mailing address

3715 Railroad Ave Ste C
Pittsburg, CA 94565-5236
Phone (925) 432-6484

National Provider Directory

National Provider Directory

Locations

3715 Railroad Ave
Ste C
Pittsburg, CA 94565
Phone (925) 432-6484

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1053713552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 RAILROAD AVE STE C",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655236",
            "telephone_number": "925-432-6484",
            "fax_number": "925-432-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 RAILROAD AVE STE C",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655236",
            "telephone_number": "925-432-6484",
            "fax_number": "925-432-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R. MILL, OD AND MICHAEL D. SUTTON, OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "925-432-6484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13917 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.