NPIMap

Organization Active NPI

Steven J Simpson O D and Bradley N Sirois O D PTRS

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1093953705
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9361T Issued in CA
Legal business name
STEVEN J SIMPSON O D AND BRADLEY N SIROIS O D PTRS
Practice address
40680 California Oaks Rd Ste 1a
Murrieta, CA 92562-5755
Phone
(951) 600-1114
Fax
(951) 600-1242
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Steven J Simpson, ODNPI 1508880030
Title
Owner
Phone
(951) 600-1114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9361T CA Primary

Addresses

Primary practice location

40680 California Oaks Rd Ste 1a
Murrieta, CA 92562-5755

Mailing address

40680 California Oaks Rd Ste 1a
Murrieta, CA 92562-5755
Phone (951) 600-1114

Other identifiers 1

IdentifierTypeStateIssuer
0493626MedicaidCA

National Provider Directory

National Provider Directory

Locations

40680 California Oaks Rd
Ste 1A
Murrieta, CA 92562
Phone (951) 600-1114

Practitioners & affiliated clinicians

Practitioners 3

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": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1093953705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD STE 1A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625755",
            "telephone_number": "951-600-1114",
            "fax_number": "951-600-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD STE 1A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625755",
            "telephone_number": "951-600-1114",
            "fax_number": "951-600-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J SIMPSON O D AND BRADLEY N SIROIS O D PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-600-1114",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9361T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.