Organization Active NPI

Encinitas Optometry Inc.

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1093947053
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8966TPA Issued in CA
Legal business name
ENCINITAS OPTOMETRY INC.
Practice address
681 Encinitas Blvd
Suite 302
Encinitas, CA 92024-3762
Phone
(760) 436-1877
Fax
(760) 632-7319
NPI assigned
Aug 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. James Patrick Owen, O. D.
Title
President
Phone
(760) 436-1877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT8966TPA CA Primary

Addresses

Primary practice location

681 Encinitas Blvd
Suite 302
Encinitas, CA 92024-3762

Mailing address

681 Encinitas Blvd
Suite 302
Encinitas, CA 92024-3762
Phone (760) 436-1877

Other identifiers 1

IdentifierTypeStateIssuer
OPT8966TPAOtherCACA LICENSE

National Provider Directory

National Provider Directory

Locations

1279 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 436-1877

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": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1093947053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 ENCINITAS BLVD",
            "address_2": "SUITE 302",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243762",
            "telephone_number": "760-436-1877",
            "fax_number": "760-632-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 ENCINITAS BLVD",
            "address_2": "SUITE 302",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243762",
            "telephone_number": "760-436-1877",
            "fax_number": "760-632-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINITAS OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-436-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8966TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "OPT8966TPA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.