Active NPI
Arrowhead Eye Associates Inc
- Ophthalmology Physician
- Rancho Cucamonga, CA
National Provider Identifier
1083075451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G069270
- Legal business name
- ARROWHEAD EYE ASSOCIATES INC
- Practice address
- 10837 Laurel St
103
Rancho Cucamonga, CA 91730-7643 - Phone
- (760) 451-6412
- NPI assigned
- Mar 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kris John Storkersen, MD
- Title
- Owner
- Phone
- (909) 213-6737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G069270 | CO | Primary |
Addresses
Primary practice location
10837 Laurel St
103
Rancho Cucamonga, CA 91730-7643
Mailing address
10837 Laurel St
103
Rancho Cucamonga, CA 91730-7643
Phone (760) 451-6412
National Provider Directory
National Provider Directory- Tax ID family
- Arrowhead Eye Associates
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Rancho Cucamonga, CA
- NPI 1013466093
-
- Ambulatory Surgical Clinic/Center
- Rancho Cucamonga, CA
- NPI 1457073322
Locations
10837 Laurel St
#103
Rancho Cucamonga, CA 91730
Phone (760) 451-6412
10837 Laurel St
Rch Cucamonga, CA 91730
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Rancho Cucamonga, CA
- NPI 1245492677
-
- Optometrist
- Rancho Cucamonga, CA
- NPI 1316783103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457913600000",
"number": "1083075451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10837 LAUREL ST",
"address_2": "103",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307643",
"telephone_number": "760-451-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10837 LAUREL ST",
"address_2": "103",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307643",
"telephone_number": "760-451-6412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD EYE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-14",
"last_updated": "2016-03-14",
"status": "A",
"authorized_official_last_name": "STORKERSEN",
"authorized_official_first_name": "KRIS",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-213-6737",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CO",
"license": "G069270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.